Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $93.60 / $486.60	Facility		$4.62	$93.60	$486.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $6.83 / $7.03	Professional		$3.14	$6.83	$7.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $7.41 / $7.41	Facility		$6.83	$7.41	$7.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.96	Professional		$6.83	$6.83	$6.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $6.83 / $13.43	Facility		$6.83	$6.83	$13.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.44 / $6.83	Facility		$6.44	$6.44	$6.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.92 / $17.96	Professional		$7.91	$7.92	$17.96
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $11.95	Professional		$6.83	$6.83	$11.95