Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $16.41 / $84.00	Facility		$9.64	$16.41	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.74 / $13.50	Professional		$9.64	$9.74	$13.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $10.46 / $797.62	Facility		$9.64	$10.46	$797.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $195.10	Professional		$9.64	$9.64	$195.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $9.64 / $18.96	Facility		$9.64	$9.64	$18.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.10 / $9.10 / $9.64	Facility		$9.10	$9.10	$9.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $88.48 / $88.48	Professional		$11.06	$88.48	$88.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $10.22 / $16.87	Professional		$9.64	$10.22	$16.87