Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $30.20	Professional		$15.14	$20.89	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $45.71	Professional		$17.38	$28.84	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $54.95	Facility		$20.89	$20.89	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $39.81	Professional		$17.38	$17.38	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $56.23	Professional		$21.88	$35.48	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $13.49 / $19.95	Facility		$10.00	$13.49	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $30.20	Professional		$11.48	$16.60	$30.20