Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $22.91	Facility		$15.14	$15.14	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $17.78	Professional		$15.14	$15.14	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.55 / $83.18	Facility		$15.14	$24.55	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Facility		$14.13	$14.13	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $44.67 / $81.28	Professional		$16.60	$44.67	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $38.90	Facility		$14.13	$27.54	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $22.91	Professional		$15.14	$15.14	$22.91