Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $3.90	Facility		$2.65	$2.65	$3.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $3.21	Professional		$2.65	$2.65	$3.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $4.30 / $9.73	Facility		$2.65	$4.30	$9.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.65 / $2.65 / $5.19	Facility		$2.65	$2.65	$5.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $2.50 / $2.65	Facility		$2.50	$2.50	$2.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $2.65	Professional		$2.65	$2.65	$2.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $5.00	Professional		$2.00	$2.00	$5.00
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.78 / $4.78	Facility		$2.45	$4.78	$4.78
United Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $2.65 / $3.33	Professional		$2.65	$2.65	$3.33