Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $948.48 / $3,793.92	Facility		$6.73	$948.48	$3,793.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $8.14	Professional		$6.73	$6.73	$8.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $10.96 / $24.70	Facility		$6.73	$10.96	$24.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $13.19	Facility		$6.73	$6.73	$13.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $6.35 / $6.73	Facility		$6.35	$6.35	$6.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $16.00 / $26.00	Professional		$6.99	$16.00	$26.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.86	Professional		$6.73	$6.73	$6.86