Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $16.22 / $21.26	Facility		$14.46	$16.22	$21.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $16.22 / $17.52	Professional		$14.46	$16.22	$17.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $17.60 / $17.60	Facility		$16.22	$17.60	$17.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.54	Professional		$16.22	$16.22	$16.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $34.88	Facility		$16.22	$16.22	$34.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $16.22	Facility		$15.30	$15.30	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $18.84	Professional		$16.22	$16.22	$18.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $25.60 / $89.14	Professional		$16.00	$25.60	$89.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $69.11	Professional		$6.49	$16.22	$69.11