Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $9.05 / $37.79	Facility		$4.00	$9.05	$37.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.20 / $9.05 / $9.51	Professional		$4.20	$9.05	$9.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.82 / $9.82	Facility		$9.05	$9.82	$9.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.05 / $9.05	Professional		$7.24	$9.05	$9.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $17.73	Facility		$9.05	$9.05	$17.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $9.05	Facility		$8.53	$8.53	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.68 / $2.68 / $9.69	Professional		$2.68	$2.68	$9.69
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $13.85	Professional		$9.05	$9.05	$13.85