Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $11.13	Facility		$7.57	$7.57	$11.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $9.16	Professional		$7.57	$7.57	$9.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $12.32 / $27.78	Facility		$7.57	$12.32	$27.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $7.57	Professional		$7.57	$7.57	$7.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $7.57 / $14.84	Facility		$7.57	$7.57	$14.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Facility		$6.77	$6.77	$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 $7.57 / $9.00 / $14.00	Professional		$7.57	$9.00	$14.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $7.57 / $8.02	Professional		$7.57	$7.57	$8.02