Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $25.12	Professional		$15.14	$16.98	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $23.44 / $42.66	Professional		$2.04	$23.44	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $21.88 / $28.84	Facility		$2.75	$21.88	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $21.88 / $28.84	Professional		$2.75	$21.88	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $41.69	Professional		$19.50	$22.91	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $52.48	Professional		$26.92	$31.62	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $1.45 / $11.75 / $22.91	Facility		$1.45	$11.75	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.20 / $33.11	Professional		$11.48	$18.20	$33.11