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 $12.46 / $14.79 / $20.86	Professional		$12.46	$14.79	$20.86
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 $14.76 / $23.03 / $44.22	Professional		$14.76	$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 $15.39 / $15.39 / $15.39	Facility		$15.39	$15.39	$15.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $32.71	Professional		$11.23	$11.23	$32.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $27.71 / $38.02	Professional		$15.37	$27.71	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $12.18 / $13.64	Facility		$7.58	$12.18	$13.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.82 / $22.80	Professional		$9.21	$13.82	$22.80