Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $132.00 / $386.10	Facility		$18.57	$132.00	$386.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $29.52 / $53.49	Professional		$16.27	$29.52	$53.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,260.19 / $5,778.53	Facility		$741.08	$2,260.19	$5,778.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $33.99 / $65.73	Professional		$16.55	$33.99	$65.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $19.50 / $29.06	Facility		$13.93	$19.50	$29.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $33.15 / $57.04	Professional		$32.71	$33.15	$57.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,446.00 / $11,874.00	Facility		$5,882.00	$10,446.00	$11,874.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $34.53 / $62.59	Professional		$18.50	$34.53	$62.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $29.22 / $58.05	Professional		$17.17	$29.22	$58.05
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,792.00 / $5,479.00	Facility		$212.00	$1,792.00	$5,479.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $42.52 / $67.05	Professional		$30.40	$42.52	$67.05