Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $116.70 / $133.55	Facility		$42.13	$116.70	$133.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $45.80 / $65.95	Facility		$34.15	$45.80	$65.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $20.57 / $63.76	Professional		$15.42	$20.57	$63.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $72.00 / $100.80	Facility		$33.43	$72.00	$100.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.68 / $113.15 / $145.37	Facility		$57.68	$113.15	$145.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $42.13 / $73.88	Professional		$27.26	$42.13	$73.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $59.14 / $66.86	Professional		$56.57	$59.14	$66.86
United Facility/Professional Facility Modifier Low / Median / High Price $37.92 / $37.92 / $37.92	Facility		$37.92	$37.92	$37.92
United Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $25.28 / $48.38	Professional		$20.32	$25.28	$48.38