Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $2.72	Facility		$1.85	$1.85	$2.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.24	Professional		$1.85	$1.85	$2.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $3.01 / $6.79	Facility		$1.85	$3.01	$6.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.85 / $1.85 / $3.63	Facility		$1.85	$1.85	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.75 / $1.75 / $1.85	Facility		$1.75	$1.75	$1.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $1.85	Professional		$1.85	$1.85	$1.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $2.00 / $5.00	Professional		$1.90	$2.00	$5.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.38	Professional		$1.85	$1.85	$2.38