Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $15.85	Professional		$8.91	$12.88	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $13.18 / $31.62	Professional		$3.63	$13.18	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Professional		$13.49	$14.13	$14.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $48.98	Professional		$18.20	$18.20	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.96 / $19.95	Professional		$6.61	$10.96	$19.95