Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $29.55 / $91.50	Facility		$5.73	$29.55	$91.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.20 / $5.51	Professional		$2.18	$2.20	$5.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.37 / $2.37	Facility		$2.18	$2.37	$2.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.22	Professional		$2.18	$2.18	$2.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $2.18 / $4.28	Facility		$2.18	$2.18	$4.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.18	Facility		$2.06	$2.06	$2.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $5.04	Professional		$0.81	$0.81	$5.04
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $3.82	Professional		$2.18	$2.18	$3.82