Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.26 / $4.26 / $4.26	Facility		$4.26	$4.26	$4.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.26 / $4.38	Professional		$4.12	$4.26	$4.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $24.53 / $62.09	Professional		$17.25	$24.53	$62.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $34.47 / $39.40	Facility		$4.38	$34.47	$39.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $15.95 / $28.50	Facility		$15.95	$15.95	$28.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $13.56 / $30.47	Professional		$13.56	$13.56	$30.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $24.63 / $33.11	Professional		$17.00	$24.63	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $12.94 / $33.59	Professional		$8.61	$12.94	$33.59