Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $14.34 / $20.76	Facility		$14.12	$14.34	$20.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.34 / $17.09	Professional		$14.12	$14.34	$17.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $23.35 / $52.63	Facility		$14.34	$23.35	$52.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $27.47 / $27.47	Professional		$12.27	$27.47	$27.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.34 / $14.34 / $28.11	Facility		$14.34	$14.34	$28.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $13.53 / $14.34	Facility		$13.53	$13.53	$14.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $54.00 / $83.00	Professional		$10.50	$54.00	$83.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $21.94	Professional		$14.34	$14.34	$21.94