Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $10.58 / $60.00	Facility		$9.96	$10.58	$60.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $9.96 / $12.00	Professional		$9.84	$9.96	$12.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.85 / $44.13 / $101.22	Facility		$10.85	$44.13	$101.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.40 / $21.67	Professional		$10.00	$11.40	$21.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.50 / $20.58	Facility		$10.19	$10.50	$20.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Facility		$10.19	$10.19	$10.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $29.10 / $29.10	Professional		$10.84	$29.10	$29.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $20.70	Professional		$10.00	$10.00	$20.70