Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $17.85	Facility		$12.14	$12.14	$17.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $14.69	Professional		$12.14	$12.14	$14.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $19.76 / $44.55	Facility		$12.14	$19.76	$44.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $23.79	Facility		$12.14	$12.14	$23.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $12.14	Facility		$11.45	$11.45	$12.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $13.00 / $20.00	Professional		$9.84	$13.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $13.43	Professional		$12.14	$12.14	$13.43