Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $10.25 / $13.80	Facility		$6.97	$10.25	$13.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $10.25 / $10.55	Professional		$6.97	$10.25	$10.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $11.12 / $11.12	Facility		$10.25	$11.12	$11.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $10.25 / $10.45	Professional		$8.19	$10.25	$10.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $10.25 / $20.09	Facility		$10.25	$10.25	$20.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $9.67 / $10.25	Facility		$9.67	$9.67	$10.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $10.25	Professional		$10.25	$10.25	$10.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $23.69 / $23.69	Professional		$5.69	$23.69	$23.69
United Facility/Professional Professional Modifier Low / Median / High Price $10.25 / $10.25 / $17.12	Professional		$10.25	$10.25	$17.12