Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $3.57 / $5.25	Facility		$3.50	$3.57	$5.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.54 / $4.32	Professional		$3.50	$3.54	$4.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $5.70 / $12.85	Facility		$3.50	$5.70	$12.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.50 / $3.50 / $6.86	Facility		$3.50	$3.50	$6.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.50	Facility		$3.31	$3.31	$3.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.50	Professional		$3.50	$3.50	$3.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $13.00 / $20.00	Professional		$3.21	$13.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.50 / $3.71	Professional		$3.50	$3.50	$3.71