Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.56 / $5.56 / $15.75	Facility		$5.56	$5.56	$15.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $7.77 / $11.22	Professional		$5.56	$7.77	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.35 / $18.69 / $48.99	Facility		$13.35	$18.69	$48.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $11.10 / $21.31	Professional		$7.12	$11.10	$21.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.35 / $12.64 / $24.70	Facility		$11.35	$12.64	$24.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $11.35 / $11.35	Professional		$11.35	$11.35	$11.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $9.42 / $17.25	Professional		$7.03	$9.42	$17.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $13.35 / $18.67	Professional		$10.15	$13.35	$18.67
United Facility/Professional Professional Modifier Low / Median / High Price $5.22 / $6.66 / $10.98	Professional		$5.22	$6.66	$10.98