Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.23 / $4.75	Facility		$3.23	$3.23	$4.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.91	Professional		$3.23	$3.23	$3.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $5.26 / $11.85	Facility		$3.23	$5.26	$11.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.23	Professional		$3.23	$3.23	$3.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.23 / $6.33	Facility		$3.23	$3.23	$6.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $3.23	Facility		$3.04	$3.04	$3.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.23	Professional		$3.23	$3.23	$3.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $13.00 / $20.00	Professional		$3.18	$13.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.73	Professional		$3.23	$3.23	$3.73