Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $186.50 / $712.03	Facility		$2.02	$186.50	$712.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.08 / $3.69	Professional		$2.02	$2.08	$3.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.19 / $2.19	Facility		$2.02	$2.19	$2.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.06	Professional		$2.02	$2.02	$2.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $3.98	Facility		$2.02	$2.02	$3.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $2.02	Facility		$1.91	$1.91	$2.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $9.40 / $9.40	Professional		$1.99	$9.40	$9.40
United Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $5.34 / $5.34	Facility		$2.31	$5.34	$5.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $3.54	Professional		$2.02	$2.02	$3.54