Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $35.28 / $186.62	Facility		$3.47	$35.28	$186.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.60 / $4.20	Professional		$3.57	$3.60	$4.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.87 / $189.89	Facility		$3.57	$3.87	$189.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.64	Professional		$3.57	$3.57	$3.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $7.00	Facility		$3.57	$3.57	$7.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.37 / $3.57	Facility		$3.37	$3.37	$3.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $3.57	Professional		$3.57	$3.57	$3.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $43.40 / $43.40	Professional		$3.28	$43.40	$43.40
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $6.25	Professional		$3.57	$3.57	$6.25