Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $2,572.00 / $6,915.00	Facility		$18.00	$2,572.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.61 / $16.63	Professional		$1.59	$2.61	$16.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $9.09 / $31.45	Facility		$2.40	$9.09	$31.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $1.89 / $6.54	Professional		$0.90	$1.89	$6.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.88 / $9.09 / $14.54	Facility		$1.88	$9.09	$14.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.91 / $5.91 / $9.09	Professional		$5.91	$5.91	$9.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $16.89 / $23.50	Facility		$2.00	$16.89	$23.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $11.73	Professional		$1.58	$1.58	$11.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $13.69 / $59.31	Professional		$9.09	$13.69	$59.31
United Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.80 / $9.09	Professional		$1.32	$1.80	$9.09