Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $238.88 / $726.64	Facility		$4.97	$238.88	$726.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.90 / $6.01	Professional		$4.86	$4.90	$6.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $5.27 / $5.27	Facility		$4.86	$5.27	$5.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $11.75 / $12.34	Professional		$4.79	$11.75	$12.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $9.56	Facility		$4.86	$4.86	$9.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $4.58 / $4.86	Facility		$4.58	$4.58	$4.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $13.28 / $13.28	Professional		$4.76	$13.28	$13.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $8.51	Professional		$4.86	$4.86	$8.51