Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.21 / $18.30 / $26.77	Facility		$18.21	$18.30	$26.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.48 / $33.47	Professional		$18.30	$18.48	$33.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $29.79 / $67.16	Facility		$18.30	$29.79	$67.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $18.30 / $18.30	Professional		$18.26	$18.30	$18.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $18.30 / $35.86	Facility		$18.30	$18.30	$35.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $18.30	Facility		$17.26	$17.26	$18.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $31.00 / $44.00	Professional		$18.88	$31.00	$44.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $24.36	Professional		$18.30	$18.30	$24.36