Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.49 / $77.06 / $135.80	Facility		$28.49	$77.06	$135.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $40.61 / $100.47	Professional		$28.49	$40.61	$100.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $54.73 / $148.22	Facility		$30.92	$54.73	$148.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $21.15 / $91.06	Professional		$21.15	$21.15	$91.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $62.12 / $92.06	Facility		$42.84	$62.12	$92.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $69.63 / $131.66	Facility		$42.57	$69.63	$131.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $57.64 / $117.24	Professional		$21.38	$57.64	$117.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $60.83 / $334.50	Professional		$42.84	$60.83	$334.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $31.27 / $78.27	Professional		$17.98	$31.27	$78.27