Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $420.08 / $999.18	Facility		$10.62	$420.08	$999.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $12.85	Professional		$10.62	$10.62	$12.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $17.27 / $38.94	Facility		$10.61	$17.27	$38.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $13.28 / $13.28	Professional		$10.62	$13.28	$13.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $20.89	Facility		$10.62	$10.62	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Facility		$33.45	$33.45	$33.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $16.00 / $38.44	Professional		$10.62	$16.00	$38.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $18.59	Professional		$10.62	$10.62	$18.59