Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $12.02 / $29.67	Facility		$6.22	$12.02	$29.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.49 / $14.27	Professional		$5.62	$7.49	$14.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $10.19 / $28.52	Facility		$6.21	$10.19	$28.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $3.74 / $14.42	Professional		$2.80	$3.74	$14.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.18 / $9.36 / $14.98	Facility		$6.18	$9.36	$14.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $20.43 / $29.26	Facility		$8.50	$20.43	$29.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.56 / $14.45	Professional		$4.32	$11.56	$14.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.17 / $23.81	Professional		$10.23	$12.17	$23.81
United Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $5.62 / $11.70	Professional		$3.93	$5.62	$11.70