Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $26.40 / $83.38	Facility		$3.95	$26.40	$83.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.99 / $4.62	Professional		$3.95	$3.99	$4.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $4.29 / $4.29	Facility		$3.95	$4.29	$4.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.95 / $3.95	Professional		$3.16	$3.95	$3.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $3.95 / $7.74	Facility		$3.95	$3.95	$7.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $3.73 / $3.95	Facility		$3.73	$3.73	$3.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $2.08 / $3.91	Professional		$2.08	$2.08	$3.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $5.01	Professional		$3.95	$3.95	$5.01