Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $38.57 / $183.86	Facility		$22.04	$38.57	$183.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $50.46 / $64.80	Professional		$34.79	$50.46	$64.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $62.98 / $200.68	Facility		$27.06	$62.98	$200.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $23.20 / $71.92	Professional		$18.55	$23.20	$71.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $84.10 / $124.66	Facility		$58.00	$84.10	$124.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $91.23 / $160.81	Facility		$53.28	$91.23	$160.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $37.89 / $149.63	Professional		$13.83	$37.89	$149.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $77.77 / $451.50	Professional		$58.00	$77.77	$451.50
United Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $52.20 / $52.20	Facility		$52.20	$52.20	$52.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $27.06 / $101.53	Professional		$14.40	$27.06	$101.53