Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $4,795.14 / $13,106.54	Facility		$12.00	$4,795.14	$13,106.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.19 / $17.92	Professional		$12.07	$12.19	$17.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $19.64 / $44.30	Facility		$12.07	$19.64	$44.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $12.07 / $23.66	Facility		$12.07	$12.07	$23.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $12.07	Facility		$11.39	$11.39	$12.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $30.00 / $31.00	Professional		$9.09	$30.00	$31.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $13.75	Professional		$12.07	$12.07	$13.75