Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $56.23 / $141.25	Facility		$25.70	$56.23	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $89.13	Professional		$26.92	$37.15	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $45.71 / $60.26	Facility		$26.92	$45.71	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.92 / $53.70	Professional		$17.38	$26.92	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $56.23	Professional		$50.12	$53.70	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $67.61 / $125.89	Facility		$41.69	$67.61	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $107.15	Professional		$20.89	$42.66	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $323.59	Professional		$37.15	$53.70	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $43.65	Facility		$29.51	$37.15	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $57.54	Professional		$15.49	$24.55	$57.54