Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.08 / $31.63 / $51.29	Facility		$24.08	$31.63	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $25.90 / $36.59	Professional		$19.67	$25.90	$36.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $38.56 / $139.46	Facility		$19.39	$38.56	$139.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.83 / $47.48	Professional		$11.12	$14.83	$47.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $21.22 / $21.22	Professional		$21.22	$21.22	$21.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $57.35 / $94.97	Facility		$6.00	$57.35	$94.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $16.76 / $63.23	Professional		$10.24	$16.76	$63.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $33.95 / $121.00	Professional		$27.33	$33.95	$121.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $15.31 / $28.67	Professional		$10.59	$15.31	$28.67