Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $30.36	Facility		$10.72	$10.72	$30.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.22 / $21.18	Professional		$10.72	$15.22	$21.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $36.02 / $94.43	Facility		$25.73	$36.02	$94.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $21.39 / $41.07	Professional		$13.72	$21.39	$41.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.87 / $23.27 / $47.60	Facility		$21.87	$23.27	$47.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $21.87 / $21.87	Professional		$21.87	$21.87	$21.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $16.29 / $30.00	Professional		$11.91	$16.29	$30.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $25.73 / $36.25	Professional		$19.55	$25.73	$36.25
United Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $12.83 / $21.17	Professional		$8.56	$12.83	$21.17