Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $46.02 / $255.01	Facility		$5.59	$46.02	$255.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.22 / $4.79	Professional		$0.21	$0.22	$4.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.23 / $0.23	Facility		$0.21	$0.23	$0.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Professional		$0.21	$0.21	$0.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $0.21 / $0.41	Facility		$0.21	$0.21	$0.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $0.20 / $0.21	Facility		$0.20	$0.20	$0.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Professional		$0.21	$0.21	$0.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $3.13 / $3.13	Professional		$0.22	$3.13	$3.13
United Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.63	Professional		$0.21	$0.21	$0.63