Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $114.82	Facility		$30.90	$60.26	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $39.81	Professional		$21.88	$28.84	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $58.88	Facility		$21.88	$43.65	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $61.66	Professional		$16.60	$20.42	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $66.07 / $104.71	Facility		$33.88	$66.07	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $51.29	Professional		$20.89	$41.69	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $123.03	Professional		$37.15	$47.86	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.90 / $40.74	Facility		$19.95	$30.90	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $61.66	Professional		$14.13	$22.91	$61.66