Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $536.76 / $2,943.20	Facility		$5.20	$536.76	$2,943.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.21 / $32.72	Professional		$5.05	$5.21	$32.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.49 / $8.86	Facility		$5.05	$5.49	$8.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.16	Professional		$5.05	$5.05	$5.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $9.94	Facility		$5.05	$5.05	$9.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $5.05	Facility		$4.76	$4.76	$5.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $30.00 / $253.00	Professional		$6.16	$30.00	$253.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.36 / $8.86	Professional		$5.05	$5.36	$8.86