Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.08 / $15.11 / $22.17	Facility		$15.08	$15.11	$22.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.11 / $18.25	Professional		$15.08	$15.11	$18.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $24.60 / $55.45	Facility		$15.11	$24.60	$55.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $15.11 / $15.11	Professional		$13.25	$15.11	$15.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $29.62	Facility		$15.11	$15.11	$29.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $14.26 / $15.11	Facility		$14.26	$14.26	$15.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Professional		$15.11	$15.11	$15.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $17.00 / $31.00	Professional		$11.58	$17.00	$31.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $15.11 / $19.27	Professional		$15.11	$15.11	$19.27