Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $13.06 / $16.73	Facility		$11.39	$13.06	$16.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $13.06 / $13.78	Professional		$11.39	$13.06	$13.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $14.17 / $14.17	Facility		$13.06	$14.17	$14.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $13.06 / $13.32	Professional		$12.42	$13.06	$13.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.06 / $13.06 / $25.70	Facility		$13.06	$13.06	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $13.06	Facility		$12.32	$12.32	$13.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $62.29 / $62.29	Professional		$13.38	$62.29	$62.29
United Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $23.28 / $23.28	Facility		$11.94	$23.28	$23.28
United Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $29.58	Professional		$13.06	$13.06	$29.58