Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $30.77 / $83.33	Facility		$5.05	$30.77	$83.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.43 / $6.75	Professional		$5.05	$6.43	$6.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $6.98 / $6.98	Facility		$6.43	$6.98	$6.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.43 / $6.43	Professional		$5.14	$6.43	$6.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $6.43 / $12.60	Facility		$6.43	$6.43	$12.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $6.07 / $6.43	Facility		$6.07	$6.07	$6.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $6.43 / $6.43	Professional		$6.43	$6.43	$6.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.20 / $6.25	Professional		$2.47	$3.20	$6.25
United Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.43 / $6.43	Professional		$6.24	$6.43	$6.43