Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $25.39 / $218.01	Facility		$15.33	$25.39	$218.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.48 / $20.90	Professional		$15.33	$15.48	$20.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $16.63 / $16.63	Facility		$15.33	$16.63	$16.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $15.33 / $15.33	Professional		$15.20	$15.33	$15.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $15.33 / $30.05	Facility		$15.33	$15.33	$30.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $14.46 / $15.32	Facility		$14.46	$14.46	$15.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $43.97 / $43.97	Professional		$17.73	$43.97	$43.97
United Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $26.83	Professional		$15.33	$15.33	$26.83