Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $6.25 / $18,649.93	Facility		$5.71	$6.25	$18,649.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.77 / $7.01	Professional		$5.71	$5.77	$7.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $9.30 / $20.96	Facility		$5.71	$9.30	$20.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.71 / $5.71	Professional		$5.37	$5.71	$5.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $5.71 / $11.19	Facility		$5.71	$5.71	$11.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.38 / $5.38 / $5.71	Facility		$5.38	$5.38	$5.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $5.71	Professional		$5.71	$5.71	$5.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $18.00 / $25.00	Professional		$5.08	$18.00	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $5.71 / $7.60	Professional		$5.71	$5.71	$7.60