Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $5.45 / $8.01	Facility		$4.69	$5.45	$8.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.74 / $6.59	Professional		$4.69	$4.74	$6.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $7.64 / $17.21	Facility		$4.69	$7.64	$17.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.78	Professional		$4.69	$4.69	$4.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $9.22	Facility		$4.69	$4.69	$9.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.43 / $4.43 / $4.69	Facility		$4.43	$4.43	$4.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $28.00 / $41.00	Professional		$6.71	$28.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $8.21	Professional		$4.69	$4.69	$8.21