Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.24 / $6.23	Facility		$4.23	$4.24	$6.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.24 / $5.13	Professional		$4.23	$4.24	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $6.89 / $15.52	Facility		$4.23	$6.89	$15.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.23 / $4.23	Professional		$3.55	$4.23	$4.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.23 / $4.23 / $8.28	Facility		$4.23	$4.23	$8.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.99 / $3.99 / $4.23	Facility		$3.99	$3.99	$4.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $4.23	Professional		$4.23	$4.23	$4.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $10.00 / $15.00	Professional		$3.18	$10.00	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $4.23 / $5.77	Professional		$4.23	$4.23	$5.77