Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $6.01	Facility		$4.09	$4.09	$6.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.95	Professional		$4.09	$4.09	$4.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.67 / $15.05	Facility		$4.09	$6.67	$15.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.09 / $4.09	Professional		$3.34	$4.09	$4.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $4.09 / $8.03	Facility		$4.09	$4.09	$8.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $3.87 / $4.09	Facility		$3.87	$3.87	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $3.70 / $4.36	Professional		$3.28	$3.70	$4.36
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $5.35	Professional		$4.09	$4.09	$5.35