Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1,902.68 / $5,599.27	Facility		$1.64	$1,902.68	$5,599.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.69 / $2.44	Professional		$1.64	$1.69	$2.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $2.67 / $6.02	Facility		$1.64	$2.67	$6.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $1.64 / $3.22	Facility		$1.64	$1.64	$3.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $1.64	Facility		$1.55	$1.55	$1.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $1.64	Professional		$1.64	$1.64	$1.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.87 / $4.00 / $9.00	Professional		$1.87	$4.00	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.64 / $1.64 / $2.50	Professional		$1.64	$1.64	$2.50