Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $109.14 / $184.34	Facility		$3.04	$109.14	$184.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.13 / $3.68	Professional		$3.10	$3.13	$3.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.36 / $3.36	Facility		$3.10	$3.36	$3.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.67 / $3.10 / $3.10	Professional		$2.67	$3.10	$3.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.10 / $3.10 / $6.08	Facility		$3.10	$3.10	$6.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $3.10	Facility		$2.92	$2.92	$3.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.10	Professional		$3.10	$3.10	$3.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $3.27 / $31.00	Professional		$2.13	$3.27	$31.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $8.19 / $8.19	Facility		$3.22	$8.19	$8.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $3.10 / $3.59	Professional		$3.10	$3.10	$3.59