Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.34 / $7.85	Facility		$5.32	$5.34	$7.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.34 / $6.46	Professional		$5.32	$5.34	$6.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $8.66 / $19.52	Facility		$5.32	$8.66	$19.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.32 / $10.43	Facility		$5.32	$5.32	$10.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.32	Facility		$5.01	$5.01	$5.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.30 / $10.00	Professional		$4.00	$4.30	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.96	Professional		$5.32	$5.32	$5.96