Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.35 / $26.92	Facility		$12.32	$12.35	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.44 / $18.29	Professional		$12.32	$12.44	$18.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $20.05 / $45.21	Facility		$12.32	$20.05	$45.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $12.32 / $24.15	Facility		$12.32	$12.32	$24.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $12.32	Facility		$11.62	$11.62	$12.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $12.32	Professional		$12.32	$12.32	$12.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $41.00 / $49.00	Professional		$13.51	$41.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.32 / $13.98	Professional		$12.32	$12.32	$13.98