Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Facility		$12.58	$12.58	$12.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.58 / $14.40	Professional		$12.43	$12.58	$14.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $12.43 / $24.59	Facility		$6.70	$12.43	$24.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $14.29 / $14.40	Professional		$12.43	$14.29	$14.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $13.27 / $26.00	Facility		$12.89	$13.27	$26.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Facility		$12.89	$12.89	$12.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Professional		$12.89	$12.89	$12.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $14.62 / $14.62	Professional		$10.92	$14.62	$14.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $12.43 / $15.73	Professional		$12.43	$12.43	$15.73