Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $25.60 / $119.63	Facility		$6.43	$25.60	$119.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.14 / $6.22	Professional		$4.45	$5.14	$6.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $7.33 / $19.86	Facility		$4.25	$7.33	$19.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.13 / $4.25 / $11.53	Professional		$2.13	$4.25	$11.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.73 / $5.74 / $9.18	Facility		$3.73	$5.74	$9.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $5.74	Professional		$3.73	$3.73	$5.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $12.63 / $17.98	Facility		$5.80	$12.63	$17.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.92 / $6.61 / $8.77	Professional		$2.92	$6.61	$8.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $7.46 / $20.67	Professional		$6.27	$7.46	$20.67
United Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $4.20 / $10.49	Professional		$2.41	$4.20	$10.49