Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.42 / $8.42 / $23.85	Facility		$8.42	$8.42	$23.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.79 / $13.47	Professional		$8.42	$10.79	$13.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $28.29 / $74.17	Facility		$20.21	$28.29	$74.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $16.80 / $32.28	Professional		$10.64	$16.80	$32.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $17.18 / $37.39	Facility		$16.67	$17.18	$37.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $17.18 / $17.18	Professional		$17.18	$17.18	$17.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $11.23 / $11.23	Facility		$11.23	$11.23	$11.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.23 / $23.25	Professional		$9.55	$11.23	$23.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $20.21 / $62.00	Professional		$15.36	$20.21	$62.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.09 / $16.64	Professional		$7.02	$10.09	$16.64