Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $873.73 / $1,860.92	Facility		$3.52	$873.73	$1,860.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.56 / $4.71	Professional		$3.52	$3.56	$4.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $5.73 / $12.92	Facility		$3.52	$5.73	$12.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.80	Professional		$3.52	$3.52	$3.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $3.52 / $6.93	Facility		$3.52	$3.52	$6.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.32 / $3.52	Facility		$3.32	$3.32	$3.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $3.52	Professional		$3.52	$3.52	$3.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $11.52	Professional		$2.00	$2.00	$11.52
United Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $3.52 / $6.16	Professional		$3.52	$3.52	$6.16