Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $59.48 / $190.96	Facility		$7.08	$59.48	$190.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.15 / $9.66	Professional		$7.08	$7.15	$9.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.68 / $7.68	Facility		$7.08	$7.68	$7.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.65 / $7.08 / $7.08	Professional		$6.65	$7.08	$7.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $13.88	Facility		$7.08	$7.08	$13.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.68 / $7.08	Facility		$6.68	$6.68	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $4.05 / $8.13	Professional		$4.05	$4.05	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $10.72	Professional		$7.08	$7.08	$10.72