Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $20.13 / $29.10	Facility		$20.13	$20.13	$29.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $20.54 / $23.47	Professional		$20.13	$20.54	$23.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $39.46 / $90.50	Facility		$24.66	$39.46	$90.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $20.50 / $38.69	Professional		$10.59	$20.50	$38.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.52 / $38.22 / $48.33	Facility		$34.52	$38.22	$48.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $27.90	Professional		$20.35	$20.35	$27.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $24.66 / $98.34	Professional		$20.47	$24.66	$98.34
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $24.93 / $35.35	Professional		$12.30	$24.93	$35.35