Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $3.34 / $3.54	Facility		$2.27	$3.34	$3.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $3.54 / $3.65	Professional		$2.27	$3.54	$3.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.84 / $3.84	Facility		$3.54	$3.84	$3.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.82	Professional		$3.54	$3.54	$3.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $3.54 / $6.96	Facility		$3.54	$3.54	$6.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $3.34 / $3.54	Facility		$3.34	$3.34	$3.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $3.54	Professional		$3.54	$3.54	$3.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $46.12 / $46.12	Professional		$5.57	$46.12	$46.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $3.54 / $6.20	Professional		$3.54	$3.54	$6.20