Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $23.81	Facility		$16.20	$16.20	$23.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $19.60	Professional		$16.20	$16.20	$19.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $17.57 / $17.57	Facility		$16.20	$17.57	$17.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $16.20 / $16.20	Professional		$15.51	$16.20	$16.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $16.20 / $31.75	Facility		$16.20	$16.20	$31.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $15.28 / $16.20	Facility		$15.28	$15.28	$16.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $16.20	Professional		$16.20	$16.20	$16.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $15.80 / $18.07	Professional		$15.80	$15.80	$18.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $23.65	Professional		$16.20	$16.20	$23.65