Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $6.02 / $8.85	Facility		$5.77	$6.02	$8.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.83 / $7.28	Professional		$5.77	$5.83	$7.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $9.39 / $21.18	Facility		$5.77	$9.39	$21.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.88	Professional		$5.77	$5.77	$5.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $11.35	Facility		$5.77	$5.77	$11.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $5.45 / $5.77	Facility		$5.45	$5.45	$5.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.79 / $23.00 / $30.00	Professional		$6.79	$23.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $10.10	Professional		$5.77	$5.77	$10.10