Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.61 / $3.84	Facility		$2.61	$2.61	$3.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $3.16	Professional		$2.61	$2.61	$3.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $4.25 / $9.58	Facility		$2.61	$4.25	$9.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.61 / $2.61	Professional		$2.25	$2.61	$2.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $2.61 / $5.12	Facility		$2.61	$2.61	$5.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $2.46 / $2.61	Facility		$2.46	$2.46	$2.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $2.61	Professional		$2.61	$2.61	$2.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $17.00 / $26.00	Professional		$2.75	$17.00	$26.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $3.03	Professional		$2.61	$2.61	$3.03