Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $4.29	Facility		$2.92	$2.92	$4.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $3.53	Professional		$2.92	$2.92	$3.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $4.75 / $10.72	Facility		$2.92	$4.75	$10.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $2.92	Professional		$2.92	$2.92	$2.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $5.72	Facility		$2.92	$2.92	$5.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.92	Facility		$2.75	$2.75	$2.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $2.92	Professional		$2.92	$2.92	$2.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $13.00 / $21.00	Professional		$2.92	$13.00	$21.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $2.92 / $3.55	Professional		$2.92	$2.92	$3.55