Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.95 / $15.55	Facility		$10.58	$10.95	$15.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.95 / $12.80	Professional		$10.58	$10.95	$12.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.82 / $40.19	Facility		$10.95	$17.82	$40.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Professional		$10.95	$10.95	$10.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $10.95 / $21.46	Facility		$10.95	$10.95	$21.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $10.33 / $10.95	Facility		$10.33	$10.33	$10.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $10.95	Professional		$10.95	$10.95	$10.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $24.00 / $37.00	Professional		$9.63	$24.00	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $12.53	Professional		$10.95	$10.95	$12.53