Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $16.01 / $26.02	Professional		$13.48	$16.01	$26.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $31.32 / $31.32	Facility		$31.32	$31.32	$31.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $25.32 / $52.48	Professional		$2.27	$25.32	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $22.76 / $50.50	Facility		$2.81	$22.76	$50.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.66 / $19.97 / $30.35	Professional		$2.66	$19.97	$30.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $27.20	Facility		$20.72	$20.72	$27.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $20.72 / $36.75	Professional		$17.61	$20.72	$36.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $31.32 / $50.11	Professional		$4.26	$31.32	$50.11
United Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $16.61 / $29.38	Professional		$10.49	$16.61	$29.38