Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $17.59 / $25.86	Facility		$16.84	$17.59	$25.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $17.01 / $21.28	Professional		$16.84	$17.01	$21.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $27.42 / $61.80	Facility		$16.84	$27.42	$61.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $27.15 / $27.15	Professional		$16.84	$27.15	$27.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $16.84 / $33.01	Facility		$16.84	$16.84	$33.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $15.89 / $16.84	Facility		$15.89	$15.89	$16.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $54.00 / $83.00	Professional		$14.01	$54.00	$83.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $26.28	Professional		$16.84	$16.84	$26.28