Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $42.66 / $141.25	Facility		$38.02	$42.66	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $48.98	Professional		$41.69	$41.69	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $39.81 / $53.70	Facility		$16.98	$39.81	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $42.66	Professional		$16.98	$16.98	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $128.82	Facility		$66.07	$93.33	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $60.26	Professional		$42.66	$48.98	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $54.95	Professional		$46.77	$48.98	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.02 / $41.69	Facility		$23.44	$38.02	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $61.66	Professional		$17.78	$25.12	$61.66