Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $11.70 / $16.91	Facility		$11.70	$11.70	$16.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.94 / $13.64	Professional		$11.70	$11.94	$13.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $22.93 / $52.59	Facility		$14.33	$22.93	$52.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $11.92 / $22.27	Professional		$6.15	$11.92	$22.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $22.21 / $28.09	Facility		$20.05	$22.21	$28.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $5.95	Professional		$5.95	$5.95	$5.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $14.33 / $98.34	Professional		$11.89	$14.33	$98.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $14.47 / $21.15	Professional		$7.15	$14.47	$21.15