Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.16 / $31.25	Facility		$13.16	$13.16	$31.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $14.78 / $22.01	Professional		$12.86	$14.78	$22.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.71 / $38.79 / $101.70	Facility		$27.71	$38.79	$101.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.03 / $44.22	Professional		$14.56	$23.03	$44.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $23.55 / $51.26	Facility		$22.90	$23.55	$51.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $23.55 / $23.55	Professional		$23.55	$23.55	$23.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Facility		$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $17.45 / $31.88	Professional		$13.47	$17.45	$31.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $27.71 / $42.83	Professional		$21.06	$27.71	$42.83
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.82 / $23.96	Professional		$9.21	$13.82	$23.96