Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $3.63 / $5.34	Facility		$3.59	$3.63	$5.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.63 / $4.38	Professional		$3.59	$3.63	$4.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $5.84 / $13.18	Facility		$3.59	$5.84	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.59 / $3.59	Professional		$3.22	$3.59	$3.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.59 / $3.59 / $7.04	Facility		$3.59	$3.59	$7.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.59	Facility		$3.39	$3.39	$3.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $3.59	Professional		$3.59	$3.59	$3.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.14 / $11.00	Professional		$3.00	$3.14	$11.00
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $6.92 / $6.92	Facility		$3.55	$6.92	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $3.59 / $4.67	Professional		$3.59	$3.59	$4.67