Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $77.97 / $177.17	Facility		$37.17	$77.97	$177.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $47.51 / $92.92	Professional		$37.17	$47.51	$92.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.34 / $71.41 / $193.38	Facility		$40.34	$71.41	$193.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $27.60 / $112.00	Professional		$20.70	$27.60	$112.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $55.89 / $89.42	Facility		$37.28	$55.89	$89.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $122.96 / $146.34	Facility		$51.61	$122.96	$146.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $68.15 / $85.19	Professional		$25.50	$68.15	$85.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.07 / $72.66 / $200.78	Professional		$61.07	$72.66	$200.78
United Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $45.74 / $78.08	Professional		$29.40	$45.74	$78.08