Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $53.40 / $112.19	Facility		$3.47	$53.40	$112.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.31 / $5.13	Professional		$2.21	$2.31	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $2.40 / $2.40	Facility		$2.21	$2.40	$2.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.22	Professional		$2.21	$2.21	$2.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $2.21 / $4.33	Facility		$2.21	$2.21	$4.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $2.08 / $2.21	Facility		$2.08	$2.08	$2.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Professional		$2.21	$2.21	$2.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $1.77 / $2.72	Professional		$1.77	$1.77	$2.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $3.38	Professional		$2.21	$2.21	$3.38