Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $13.26 / $13.26	Facility		$13.26	$13.26	$13.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $13.26 / $13.92	Professional		$12.78	$13.26	$13.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.32 / $13.32 / $13.32	Facility		$13.32	$13.32	$13.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $13.32 / $15.18	Professional		$3.09	$13.32	$15.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.98 / $13.98	Facility		$13.58	$13.98	$13.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $13.58 / $85.00	Facility		$13.58	$13.58	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $13.58 / $13.58	Professional		$13.58	$13.58	$13.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $13.58 / $17.64	Professional		$8.00	$13.58	$17.64
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $2.16 / $3.84	Professional		$1.28	$2.16	$3.84