Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $12.05 / $12.05	Facility		$12.05	$12.05	$12.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $12.05 / $12.05	Professional		$11.62	$12.05	$12.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $19.10 / $43.05	Facility		$11.73	$19.10	$43.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $13.73 / $13.79	Professional		$12.10	$13.73	$13.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.71 / $24.90	Facility		$12.34	$12.71	$24.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $13.00 / $20.00	Professional		$9.59	$13.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $12.10 / $13.29	Professional		$12.10	$12.10	$13.29