Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.29 / $26.89	Facility		$18.16	$18.29	$26.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.29 / $22.13	Professional		$18.16	$18.29	$22.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $29.56 / $66.65	Facility		$18.16	$29.56	$66.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $35.59	Facility		$18.16	$18.16	$35.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.13 / $17.13 / $18.16	Facility		$17.13	$17.13	$18.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $18.16	Professional		$18.16	$18.16	$18.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.47 / $53.00 / $82.00	Professional		$15.47	$53.00	$82.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $18.16 / $20.89	Professional		$18.16	$18.16	$20.89