Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $14.94	Facility		$10.27	$10.27	$14.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.37 / $18.59	Professional		$10.27	$10.37	$18.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $16.72 / $37.69	Facility		$10.27	$16.72	$37.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $10.27 / $20.13	Facility		$10.27	$10.27	$20.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $9.69 / $10.27	Facility		$9.69	$9.69	$10.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $24.94 / $38.00	Professional		$11.10	$24.94	$38.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $13.79	Professional		$10.27	$10.27	$13.79