Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $12.80 / $81.70	Facility		$6.05	$12.80	$81.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.23 / $15.49	Professional		$6.05	$6.23	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.56 / $6.56	Facility		$6.05	$6.56	$6.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.17	Professional		$6.05	$6.05	$6.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $6.05 / $11.91	Facility		$6.05	$6.05	$11.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.70 / $5.70 / $6.05	Facility		$5.70	$5.70	$6.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $12.28 / $17.36	Professional		$6.60	$12.28	$17.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $10.59	Professional		$6.05	$6.05	$10.59