Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $3.35 / $4.90	Facility		$3.33	$3.35	$4.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.33 / $3.35 / $4.03	Professional		$3.33	$3.35	$4.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $5.44 / $12.26	Facility		$3.34	$5.44	$12.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $3.35 / $6.57	Facility		$3.35	$3.35	$6.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $3.16 / $3.35	Facility		$3.16	$3.16	$3.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $3.35	Professional		$3.35	$3.35	$3.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $5.00 / $7.00	Professional		$2.73	$5.00	$7.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $6.36 / $6.36	Facility		$3.26	$6.36	$6.36
United Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $4.32	Professional		$3.35	$3.35	$4.32