Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $416.87 / $1,000.00	Facility		$10.72	$416.87	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $11.48	Professional		$10.00	$10.00	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $17.38 / $57.54	Facility		$10.72	$17.38	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $13.18	Professional		$10.72	$13.18	$13.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $38.02	Professional		$10.72	$15.85	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $20.89 / $29.51	Facility		$11.22	$20.89	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $37.15	Professional		$10.72	$10.72	$37.15