Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $43.41 / $92.03	Facility		$34.11	$43.41	$92.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $43.41 / $45.58	Professional		$34.11	$43.41	$45.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $47.10 / $47.10	Facility		$43.41	$47.10	$47.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.89 / $43.41 / $43.41	Professional		$36.89	$43.41	$43.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $43.41 / $85.08	Facility		$43.41	$43.41	$85.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $43.41	Facility		$40.95	$40.95	$43.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $43.41	Professional		$43.41	$43.41	$43.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.77 / $26.77 / $55.08	Professional		$26.77	$26.77	$55.08
United Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $53.78	Professional		$43.41	$43.41	$53.78