Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.26 / $4.79	Facility		$3.25	$3.26	$4.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.26 / $3.94	Professional		$3.25	$3.26	$3.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $5.29 / $11.93	Facility		$3.25	$5.29	$11.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.25 / $3.25	Professional		$3.25	$3.25	$3.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.25 / $3.25 / $6.37	Facility		$3.25	$3.25	$6.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.06 / $3.06 / $3.24	Facility		$3.06	$3.06	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $4.00 / $6.00	Professional		$2.77	$4.00	$6.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $3.25 / $4.38	Professional		$3.25	$3.25	$4.38