Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $36.31	Facility		$12.02	$12.02	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $25.12	Professional		$12.02	$14.13	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $72.44 / $112.20	Facility		$30.20	$72.44	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.55 / $37.15	Professional		$15.85	$24.55	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $45.71	Facility		$16.98	$16.98	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $31.62	Professional		$12.30	$12.30	$31.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.20 / $40.74	Professional		$18.62	$30.20	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $17.78 / $19.95	Facility		$9.77	$17.78	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $28.18	Professional		$9.77	$14.79	$28.18