Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $6.19 / $372.00	Facility		$2.73	$6.19	$372.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.75 / $3.44	Professional		$2.73	$2.75	$3.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.96 / $2.96	Facility		$2.73	$2.96	$2.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.78	Professional		$2.73	$2.73	$2.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $2.73 / $5.37	Facility		$2.73	$2.73	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.73	Facility		$2.57	$2.57	$2.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $2.73	Professional		$2.73	$2.73	$2.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $5.81 / $5.81	Professional		$2.43	$5.81	$5.81
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $4.78	Professional		$2.73	$2.73	$4.78