Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $87.56 / $400.07	Facility		$7.54	$87.56	$400.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.83 / $6.21	Professional		$4.78	$4.83	$6.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $5.19 / $5.19	Facility		$4.78	$5.19	$5.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.87	Professional		$4.78	$4.78	$4.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $4.78 / $9.36	Facility		$4.78	$4.78	$9.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $4.78	Facility		$4.51	$4.51	$4.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $12.29 / $12.29	Professional		$4.90	$12.29	$12.29
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $9.74	Professional		$4.78	$4.78	$9.74