Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.40 / $49.00 / $165.00	Facility		$1.40	$49.00	$165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.43 / $1.65	Professional		$1.40	$1.43	$1.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.53 / $1.53	Facility		$1.41	$1.53	$1.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.41 / $1.43	Professional		$1.12	$1.41	$1.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $2.78	Facility		$1.41	$1.41	$2.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.33 / $1.33 / $1.41	Facility		$1.33	$1.33	$1.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Professional		$1.41	$1.41	$1.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $3.75 / $3.75	Professional		$0.93	$3.75	$3.75
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $2.47	Professional		$1.41	$1.41	$2.47