Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $22.43 / $22.43	Facility		$22.43	$22.43	$22.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $22.43 / $22.43	Professional		$21.62	$22.43	$22.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $24.43 / $24.43	Facility		$22.52	$24.43	$24.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $9.44 / $20.54	Professional		$8.82	$9.44	$20.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $23.64 / $46.34	Facility		$22.97	$23.64	$46.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Facility		$22.97	$22.97	$22.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $37.33 / $38.44	Professional		$22.97	$37.33	$38.44
United Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $22.52 / $27.02	Professional		$22.52	$22.52	$27.02