Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.53 / $21.23 / $46.28	Facility		$0.53	$21.23	$46.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $25.69	Professional		$21.23	$21.23	$25.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $33.97 / $77.91	Facility		$21.23	$33.97	$77.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $26.54 / $26.54	Professional		$21.23	$26.54	$26.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $41.61	Facility		$21.23	$21.23	$41.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Facility		$28.21	$28.21	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $31.99 / $62.60	Professional		$21.23	$31.99	$62.60
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $30.51	Professional		$21.23	$21.23	$30.51