Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $5.89	Facility		$4.01	$4.01	$5.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.05 / $5.96	Professional		$4.01	$4.05	$5.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $6.54 / $14.75	Facility		$4.01	$6.54	$14.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $4.01	Professional		$4.01	$4.01	$4.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.01 / $4.01 / $7.88	Facility		$4.01	$4.01	$7.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $4.09	Facility		$3.79	$3.79	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $13.00 / $20.00	Professional		$3.44	$13.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $5.27	Professional		$4.01	$4.01	$5.27