Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $15.14	Facility		$10.30	$10.30	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $12.46	Professional		$10.30	$10.30	$12.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $16.77 / $37.79	Facility		$10.30	$16.77	$37.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.50	Professional		$10.30	$10.30	$10.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $20.19	Facility		$10.30	$10.30	$20.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $10.30	Facility		$9.72	$9.72	$10.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $26.23 / $26.23	Professional		$9.06	$26.23	$26.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $12.60	Professional		$10.30	$10.30	$12.60