Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $18.04 / $26.52	Facility		$16.54	$18.04	$26.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.71 / $21.83	Professional		$16.54	$16.71	$21.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $17.95 / $17.95	Facility		$16.54	$17.95	$17.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $16.54 / $16.54	Professional		$13.76	$16.54	$16.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $32.53	Facility		$16.54	$16.54	$32.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $16.54	Facility		$15.60	$15.60	$16.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $24.51 / $24.51	Professional		$12.57	$24.51	$24.51
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $25.31	Professional		$16.54	$16.54	$25.31