Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $21.07 / $34.21	Professional		$17.73	$21.07	$34.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $41.66 / $41.66	Facility		$41.66	$41.66	$41.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $33.09 / $69.06	Professional		$2.91	$33.09	$69.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.62 / $29.12 / $67.17	Facility		$3.62	$29.12	$67.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $26.56 / $38.79	Professional		$3.54	$26.56	$38.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $35.54	Facility		$27.09	$27.09	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $27.09 / $48.00	Professional		$23.03	$27.09	$48.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $41.66 / $165.00	Professional		$30.50	$41.66	$165.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $21.24 / $37.57	Professional		$13.42	$21.24	$37.57