Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $8.52 / $63.00	Facility		$2.25	$8.52	$63.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.73	Professional		$2.25	$2.25	$2.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.45 / $2.45	Facility		$2.25	$2.45	$2.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.29	Professional		$2.25	$2.25	$2.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $2.25 / $4.45	Facility		$2.25	$2.25	$4.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.13 / $2.13 / $2.25	Facility		$2.13	$2.13	$2.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.25	Professional		$2.25	$2.25	$2.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $4.68 / $21.06	Professional		$2.62	$4.68	$21.06
United Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $7.41	Professional		$2.25	$2.25	$7.41