Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $86.29 / $319.68	Facility		$1.22	$86.29	$319.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.23 / $1.80	Professional		$1.22	$1.23	$1.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.32 / $1.32	Facility		$1.22	$1.32	$1.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.24	Professional		$1.22	$1.22	$1.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $2.41	Facility		$1.22	$1.22	$2.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.14 / $1.14 / $1.22	Facility		$1.14	$1.14	$1.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.36 / $12.39 / $12.39	Professional		$1.36	$12.39	$12.39
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $2.14	Professional		$1.22	$1.22	$2.14