Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $15.85	Professional		$8.91	$10.96	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $16.22 / $26.92	Professional		$1.45	$16.22	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $15.14 / $20.42	Facility		$2.00	$15.14	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $15.14 / $19.95	Professional		$2.00	$15.14	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $16.60	Facility		$14.45	$14.45	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $31.62	Professional		$12.30	$14.45	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.05 / $38.02	Professional		$16.60	$19.05	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $7.94 / $16.60	Facility		$1.05	$7.94	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.30 / $21.38	Professional		$7.76	$12.30	$21.38