Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $11.44 / $50.40	Facility		$3.51	$11.44	$50.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.72 / $4.25	Professional		$3.51	$3.72	$4.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $4.01 / $4.01	Facility		$3.70	$4.01	$4.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $3.70 / $3.70	Professional		$2.96	$3.70	$3.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.70 / $3.70 / $7.25	Facility		$3.70	$3.70	$7.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.49 / $3.49 / $3.70	Facility		$3.49	$3.49	$3.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $3.70	Professional		$3.70	$3.70	$3.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.77	Professional		$2.00	$2.00	$3.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.70 / $3.70 / $4.99	Professional		$3.70	$3.70	$4.99