Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $2.54 / $3,324.63	Facility		$1.73	$2.54	$3,324.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $2.60	Professional		$1.76	$1.76	$2.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $1.91 / $1.91	Facility		$1.76	$1.91	$1.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.76 / $1.76	Professional		$1.40	$1.76	$1.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $1.76 / $3.47	Facility		$1.76	$1.76	$3.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.66 / $1.76	Facility		$1.66	$1.66	$1.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.76 / $1.76	Professional		$0.93	$1.76	$1.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.77 / $2.58	Professional		$0.48	$0.77	$2.58
United Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $1.76 / $1.76	Professional		$0.70	$1.76	$1.76