Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $23.99	Facility		$8.91	$8.91	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $16.98	Professional		$8.91	$10.96	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $47.86 / $74.13	Facility		$19.95	$47.86	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.22 / $26.92	Professional		$10.47	$16.22	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $34.67	Facility		$13.49	$13.49	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $23.99	Professional		$9.77	$9.77	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $36.31	Professional		$14.13	$19.95	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.55 / $13.18	Facility		$6.17	$9.55	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.77 / $19.05	Professional		$6.61	$9.77	$19.05