Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.34 / $9.34 / $22.19	Facility		$9.34	$9.34	$22.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $11.82 / $14.77	Professional		$9.34	$11.82	$14.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $27.54 / $72.19	Facility		$19.67	$27.54	$72.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $16.36 / $31.41	Professional		$10.49	$16.36	$31.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $22.06 / $36.39	Facility		$16.72	$22.06	$36.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $16.72 / $16.72	Professional		$16.72	$16.72	$16.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $13.34 / $13.34	Facility		$13.34	$13.34	$13.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.04 / $24.00	Professional		$9.74	$13.04	$24.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $19.67 / $36.26	Professional		$14.95	$19.67	$36.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $9.82 / $20.58	Professional		$6.65	$9.82	$20.58