Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $16.38 / $51.90	Facility		$16.38	$16.38	$51.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $19.59 / $30.74	Professional		$16.38	$19.59	$30.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $52.04 / $136.41	Facility		$37.17	$52.04	$136.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $27.25 / $65.04	Professional		$2.98	$27.25	$65.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.26 / $29.74 / $59.93	Facility		$3.26	$29.74	$59.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $23.70 / $31.59	Professional		$3.16	$23.70	$31.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $27.30 / $55.78	Professional		$23.21	$27.30	$55.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $37.17 / $55.76	Professional		$5.33	$37.17	$55.76
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $21.22 / $36.09	Professional		$12.91	$21.22	$36.09