Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $129.88 / $739.20	Facility		$22.63	$129.88	$739.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $19.44 / $23.76	Professional		$13.58	$19.44	$23.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $29.86 / $139.46	Facility		$16.69	$29.86	$139.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $11.81 / $36.61	Professional		$8.85	$11.81	$36.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $17.42 / $25.26	Facility		$11.32	$17.42	$25.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $12.79 / $19.67	Professional		$11.32	$12.79	$19.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $58.00 / $66.00	Facility		$14.73	$58.00	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.14 / $23.95 / $38.11	Professional		$9.14	$23.95	$38.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $74.98 / $79.00	Professional		$25.23	$74.98	$79.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $16.46 / $26.52	Professional		$9.38	$16.46	$26.52