Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $8.25	Facility		$3.63	$3.63	$8.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.67 / $4.98	Professional		$3.63	$3.67	$4.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $5.91 / $13.32	Facility		$3.63	$5.91	$13.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.92	Professional		$3.63	$3.63	$3.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $7.14	Facility		$3.63	$3.63	$7.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $3.43 / $3.63	Facility		$3.43	$3.43	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $46.00 / $71.00	Professional		$9.78	$46.00	$71.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $5.55	Professional		$3.63	$3.63	$5.55