Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $13.59 / $13.59	Facility		$13.59	$13.59	$13.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.59 / $13.59	Professional		$13.10	$13.59	$13.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $14.80 / $14.80	Facility		$13.64	$14.80	$14.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $15.55 / $32.42	Professional		$13.64	$15.55	$32.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $14.32 / $28.07	Facility		$13.91	$14.32	$28.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Facility		$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $42.00 / $66.00	Professional		$13.91	$42.00	$66.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $13.64 / $16.37	Professional		$13.64	$13.64	$16.37