Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.34 / $19.61	Facility		$13.29	$13.34	$19.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.34 / $16.14	Professional		$13.29	$13.34	$16.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $21.64 / $48.77	Facility		$13.29	$21.64	$48.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $13.29 / $13.29	Professional		$11.69	$13.29	$13.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.29 / $26.05	Facility		$13.29	$13.29	$26.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $12.54 / $13.29	Facility		$12.54	$12.54	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $13.64 / $14.29	Professional		$11.99	$13.64	$14.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $15.24	Professional		$13.29	$13.29	$15.24