Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $74.13	Professional		$43.65	$52.48	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $74.13 / $120.23	Professional		$7.76	$74.13	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $81.28 / $120.23	Facility		$8.13	$81.28	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $61.66 / $120.23	Professional		$8.13	$61.66	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $89.13	Facility		$60.26	$60.26	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $109.65	Professional		$51.29	$60.26	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $112.20	Professional		$72.44	$100.00	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $45.71 / $74.13	Facility		$5.25	$45.71	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $112.20	Professional		$45.71	$69.18	$112.20