Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $8.89 / $18.36	Facility		$8.66	$8.89	$18.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $10.76	Professional		$8.66	$8.66	$10.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $9.40 / $9.40	Facility		$8.66	$9.40	$9.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.66 / $8.66	Professional		$6.92	$8.66	$8.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $8.66 / $18.14	Facility		$8.66	$8.66	$18.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $7.36	Professional		$7.36	$7.36	$7.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.17 / $8.17 / $8.66	Facility		$8.17	$8.17	$8.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $10.73	Professional		$8.66	$8.66	$10.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $7.12 / $11.55	Professional		$6.52	$7.12	$11.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.46 / $8.66 / $13.25	Professional		$3.46	$8.66	$13.25