Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $74.17 / $224.12	Facility		$7.25	$74.17	$224.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.47 / $9.94	Professional		$7.25	$7.47	$9.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.87 / $7.87	Facility		$7.25	$7.87	$7.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.39	Professional		$7.25	$7.25	$7.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.25 / $14.26	Facility		$7.25	$7.25	$14.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.84 / $6.84 / $7.25	Facility		$6.84	$6.84	$7.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Professional		$7.25	$7.25	$7.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $16.64 / $16.64	Professional		$8.42	$16.64	$16.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $14.48	Professional		$7.25	$7.25	$14.48