Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $3,548.13 / $5,623.41	Professional		$426.58	$3,548.13	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.09 / $0.16	Facility		$0.02	$0.09	$0.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.93 / $0.93	Professional		$0.02	$0.93	$0.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,977.88 / $48,977.88 / $48,977.88	Facility		$48,977.88	$48,977.88	$48,977.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.78	Professional		$0.02	$0.03	$0.78
United Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $1.00	Facility		$0.09	$0.09	$1.00
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03