Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $36.31	Facility		$12.88	$12.88	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $22.91	Professional		$12.02	$12.88	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $70.79 / $109.65	Facility		$30.20	$70.79	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $31.62	Professional		$21.88	$25.12	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $51.29	Facility		$22.39	$22.39	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $41.69	Professional		$20.89	$30.20	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.79 / $21.38	Facility		$9.33	$14.79	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $28.18	Professional		$9.55	$14.13	$28.18