Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $26.95 / $98.54	Facility		$2.04	$26.95	$98.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.06 / $3.16	Professional		$2.04	$2.06	$3.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.21 / $2.21	Facility		$2.04	$2.21	$2.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.08	Professional		$2.04	$2.04	$2.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $4.01	Facility		$2.04	$2.04	$4.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.92 / $1.92 / $2.04	Facility		$1.92	$1.92	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $22.54 / $22.54	Professional		$2.34	$22.54	$22.54
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $8.19	Professional		$2.04	$2.04	$8.19