Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.57 / $14.99 / $4,023.45	Facility		$7.57	$14.99	$4,023.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.92 / $11.66	Professional		$7.85	$7.92	$11.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $12.78 / $28.81	Facility		$7.85	$12.78	$28.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $7.85	Professional		$7.85	$7.85	$7.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.85 / $7.85 / $15.39	Facility		$7.85	$7.85	$15.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.21 / $7.21 / $7.85	Facility		$7.21	$7.21	$7.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $7.85 / $7.85	Professional		$7.85	$7.85	$7.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.47 / $38.00	Professional		$6.00	$7.47	$38.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $8.32 / $10.05	Professional		$7.85	$8.32	$10.05