Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.23 / $20.89	Facility		$14.21	$14.23	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.37 / $25.61	Professional		$14.23	$14.37	$25.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $23.17 / $52.22	Facility		$14.23	$23.17	$52.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $14.23 / $27.89	Facility		$14.23	$14.23	$27.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $14.23	Facility		$13.43	$13.43	$14.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $14.23	Professional		$14.23	$14.23	$14.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.96 / $66.00 / $130.00	Professional		$15.96	$66.00	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $14.23 / $21.77	Professional		$14.23	$14.23	$21.77