Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $42.77 / $97.20	Facility		$2.90	$42.77	$97.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $2.90 / $3.13	Professional		$2.44	$2.90	$3.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.15 / $3.15	Facility		$2.90	$3.15	$3.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $2.90 / $2.90	Professional		$2.31	$2.90	$2.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $2.90 / $5.68	Facility		$2.90	$2.90	$5.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $2.90	Facility		$2.73	$2.73	$2.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Professional		$2.90	$2.90	$2.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $3.28 / $3.28	Professional		$0.91	$3.28	$3.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $3.86	Professional		$2.90	$2.90	$3.86