Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $7.47 / $10.98	Facility		$7.11	$7.47	$10.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.18 / $9.03	Professional		$7.11	$7.18	$9.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $11.58 / $26.09	Facility		$7.11	$11.58	$26.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $7.11 / $7.11	Professional		$6.66	$7.11	$7.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $7.11 / $13.94	Facility		$7.11	$7.11	$13.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $7.11	Facility		$6.71	$6.71	$7.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $7.11	Professional		$7.11	$7.11	$7.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $15.00 / $31.00	Professional		$5.63	$15.00	$31.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $9.57	Professional		$7.11	$7.11	$9.57