Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.14	Professional		$8.91	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $15.14 / $26.30	Professional		$1.29	$15.14	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $15.49 / $20.89	Facility		$1.82	$15.49	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $13.80 / $20.89	Professional		$1.82	$13.80	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $19.05	Facility		$14.45	$14.45	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $26.30	Professional		$12.30	$14.45	$26.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $35.48	Professional		$16.98	$22.39	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $7.08 / $16.22	Facility		$0.93	$7.08	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.22 / $19.95	Professional		$6.92	$11.22	$19.95