Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.39 / $5.46 / $7.92	Facility		$5.39	$5.46	$7.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.39 / $5.46 / $6.52	Professional		$5.39	$5.46	$6.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $8.89 / $20.04	Facility		$5.46	$8.89	$20.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $5.46	Professional		$5.46	$5.46	$5.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $10.70	Facility		$5.46	$5.46	$10.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.46	Facility		$5.15	$5.15	$5.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $5.46	Professional		$5.46	$5.46	$5.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $16.00 / $25.00	Professional		$5.91	$16.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.79 / $6.55	Professional		$5.46	$5.79	$6.55