Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $35.78 / $123.63	Facility		$21.91	$35.78	$123.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $31.20 / $49.92	Professional		$23.40	$31.20	$49.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $42.35 / $134.94	Facility		$25.40	$42.35	$134.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $15.60 / $45.51	Professional		$11.70	$15.60	$45.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $39.00 / $62.40	Facility		$23.76	$39.00	$62.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $63.38 / $85.80	Facility		$24.86	$63.38	$85.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $47.50 / $59.38	Professional		$13.90	$47.50	$59.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.62 / $55.38 / $178.45	Professional		$42.62	$55.38	$178.45
United Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $17.17 / $68.02	Professional		$12.05	$17.17	$68.02