Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.13 / $19.89	Facility		$9.07	$9.13	$19.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.13 / $11.05	Professional		$9.07	$9.13	$11.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $14.77 / $33.29	Facility		$9.07	$14.77	$33.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $17.78	Facility		$9.07	$9.07	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.55 / $8.55 / $9.07	Facility		$8.55	$8.55	$9.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $9.07	Professional		$9.07	$9.07	$9.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $15.00 / $19.00	Professional		$5.93	$15.00	$19.00
United Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $15.68 / $15.68	Facility		$8.03	$15.68	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $10.46	Professional		$9.07	$9.07	$10.46