Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.76 / $27.04 / $46.09	Professional		$22.76	$27.04	$46.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $52.78 / $52.78	Facility		$52.78	$52.78	$52.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $43.47 / $88.61	Professional		$3.87	$43.47	$88.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $38.61 / $85.10	Facility		$4.79	$38.61	$85.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.49 / $33.65 / $51.48	Professional		$4.49	$33.65	$51.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $46.67	Facility		$35.56	$35.56	$46.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.56 / $63.00	Professional		$30.23	$35.56	$63.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $52.78 / $84.45	Professional		$6.40	$52.78	$84.45
United Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $27.94 / $49.85	Professional		$17.80	$27.94	$49.85