Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $28.94 / $100.49	Facility		$28.94	$28.94	$100.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $29.53 / $34.20	Professional		$28.94	$29.53	$34.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $51.89 / $119.02	Facility		$32.43	$51.89	$119.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $26.43 / $52.88	Professional		$22.38	$26.43	$52.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $51.89 / $81.03	Facility		$45.40	$51.89	$81.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $18.70	Professional		$18.70	$18.70	$18.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.67 / $108.00	Professional		$26.92	$35.67	$108.00
United Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $32.43 / $32.43	Facility		$32.43	$32.43	$32.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $47.02 / $59.84	Professional		$17.63	$47.02	$59.84