Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $15.04 / $22.09	Facility		$15.03	$15.04	$22.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.04 / $18.19	Professional		$15.03	$15.04	$18.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $24.49 / $55.20	Facility		$15.04	$24.49	$55.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $15.04 / $15.04	Professional		$13.52	$15.04	$15.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $29.48	Facility		$15.04	$15.04	$29.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $14.19 / $15.04	Facility		$14.19	$14.19	$15.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.74 / $16.53	Professional		$15.08	$15.74	$16.53
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $18.98	Professional		$15.04	$15.04	$18.98