Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $69.18 / $128.82	Facility		$26.30	$69.18	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.20 / $38.90	Professional		$15.85	$30.20	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $39.81 / $50.12	Facility		$19.50	$39.81	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $33.11	Professional		$12.30	$15.49	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $63.10 / $117.49	Facility		$38.02	$63.10	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $46.77 / $58.88	Professional		$9.77	$46.77	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $44.67 / $72.44	Professional		$25.70	$44.67	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $34.67 / $38.90	Facility		$11.48	$34.67	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $16.22 / $50.12	Professional		$9.55	$16.22	$50.12