Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.17 / $9.00	Facility		$4.13	$4.17	$9.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.17 / $5.00	Professional		$4.13	$4.17	$5.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.51 / $4.51	Facility		$4.17	$4.51	$4.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.17 / $4.17	Professional		$3.40	$4.17	$4.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $8.17	Facility		$4.17	$4.17	$8.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.93 / $3.93 / $4.17	Facility		$3.93	$3.93	$4.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.18 / $1.18 / $4.75	Professional		$1.18	$1.18	$4.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $5.18	Professional		$4.17	$4.17	$5.18