Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.25 / $3.32	Facility		$2.22	$2.25	$3.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.25 / $2.73	Professional		$2.22	$2.25	$2.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $3.61 / $8.15	Facility		$2.22	$3.61	$8.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.23	Professional		$2.22	$2.22	$2.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.22 / $4.34	Facility		$2.22	$2.22	$4.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.22	Facility		$2.10	$2.10	$2.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $56.00 / $87.00	Professional		$2.40	$56.00	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.94	Professional		$2.22	$2.22	$2.94