Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $38.02	Professional		$20.89	$25.12	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $36.31 / $58.88	Professional		$3.39	$36.31	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $36.31 / $47.86	Facility		$4.27	$36.31	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $32.36 / $47.86	Professional		$4.27	$32.36	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $43.65	Facility		$33.11	$33.11	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $56.23	Professional		$28.18	$33.11	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $74.13	Professional		$38.02	$44.67	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $19.05 / $35.48	Facility		$2.34	$19.05	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $45.71	Professional		$18.20	$28.84	$45.71