Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.59 / $19.05	Facility		$12.02	$12.59	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.14	Professional		$12.02	$12.02	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $13.49 / $67.61	Facility		$12.59	$13.49	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $12.59	Facility		$11.75	$11.75	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $15.85	Professional		$12.59	$12.59	$15.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $89.13	Professional		$12.59	$21.88	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $28.84 / $40.74	Facility		$5.89	$28.84	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $25.70	Professional		$5.01	$12.59	$25.70