Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $29.61	Facility		$9.69	$9.69	$29.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $9.69 / $9.69	Professional		$9.35	$9.69	$9.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $10.57 / $10.57	Facility		$9.74	$10.57	$10.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $9.74 / $11.11	Professional		$8.77	$9.74	$11.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $10.23 / $20.05	Facility		$9.94	$10.23	$20.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.88 / $8.19 / $9.94	Professional		$1.88	$8.19	$9.94
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $9.74 / $10.99	Professional		$9.74	$9.74	$10.99