Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.71 / $8.39	Facility		$5.64	$5.71	$8.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.70 / $6.91	Professional		$5.64	$5.70	$6.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $9.18 / $20.70	Facility		$5.64	$9.18	$20.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.95 / $5.64 / $5.64	Professional		$4.95	$5.64	$5.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $5.64 / $11.05	Facility		$5.64	$5.64	$11.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.32 / $5.64	Facility		$5.32	$5.32	$5.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $5.64	Professional		$5.64	$5.64	$5.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $13.00 / $29.00	Professional		$4.86	$13.00	$29.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $5.64 / $7.90	Professional		$5.64	$5.64	$7.90