Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $6.77 / $78.87	Facility		$6.68	$6.77	$78.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.84 / $12.38	Professional		$6.77	$6.84	$12.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $11.02 / $24.85	Facility		$6.77	$11.02	$24.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional		$6.77	$6.77	$6.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $13.33	Facility		$6.77	$6.77	$13.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.39 / $6.39 / $6.77	Facility		$6.39	$6.39	$6.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional		$6.77	$6.77	$6.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $31.00 / $43.00	Professional		$7.37	$31.00	$43.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $19.98	Professional		$6.77	$6.77	$19.98