Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $4.49 / $21.86	Facility		$3.91	$4.49	$21.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.95 / $5.43	Professional		$3.91	$3.95	$5.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $6.37 / $14.35	Facility		$3.91	$6.37	$14.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $3.98	Professional		$3.91	$3.91	$3.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $3.91 / $7.69	Facility		$3.91	$3.91	$7.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $3.69 / $3.91	Facility		$3.69	$3.69	$3.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $3.91	Professional		$3.91	$3.91	$3.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $14.00 / $20.00	Professional		$4.29	$14.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $5.98	Professional		$3.91	$3.91	$5.98