Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.99 / $2.06 / $2.93	Facility		$1.99	$2.06	$2.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.13 / $1,343.25	Professional		$2.06	$2.13	$1,343.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $3.37 / $7.60	Facility		$2.06	$3.37	$7.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $4.05	Facility		$2.06	$2.06	$4.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.06	Facility		$1.95	$1.95	$2.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.06	Professional		$2.06	$2.06	$2.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $4.00 / $5.00	Professional		$1.45	$4.00	$5.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $2.06 / $2.98	Professional		$2.06	$2.06	$2.98