Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $2,671.56	Facility		$4.24	$4.24	$2,671.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $5.13	Professional		$4.24	$4.24	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $6.90 / $15.56	Facility		$4.24	$6.90	$15.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.24 / $4.24	Professional		$3.39	$4.24	$4.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $8.31	Facility		$4.24	$4.24	$8.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.24	Facility		$4.00	$4.00	$4.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Professional		$4.24	$4.24	$4.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $2.87 / $4.53	Professional		$2.87	$2.87	$4.53
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.84	Professional		$4.24	$4.24	$4.84