Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $8.78	Facility		$5.98	$5.98	$8.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $6.04 / $7.24	Professional		$5.98	$6.04	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $9.74 / $21.95	Facility		$5.98	$9.74	$21.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $5.98	Professional		$5.98	$5.98	$5.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.98 / $5.98 / $11.72	Facility		$5.98	$5.98	$11.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.64 / $5.98	Facility		$5.64	$5.64	$5.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $5.98	Professional		$5.98	$5.98	$5.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $30.00 / $47.00	Professional		$6.58	$30.00	$47.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $6.34	Professional		$5.98	$5.98	$6.34