Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $77.73 / $585.00	Facility		$21.35	$77.73	$585.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.80	Professional		$4.79	$4.79	$5.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.20 / $5.20	Facility		$4.79	$5.20	$5.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.92	Professional		$4.79	$4.79	$4.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $9.42	Facility		$4.79	$4.79	$9.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $4.79	Facility		$4.51	$4.51	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $38.19 / $38.19	Professional		$7.23	$38.19	$38.19
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $10.93	Professional		$4.79	$4.79	$10.93