Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $43.61 / $1,348.75	Facility		$39.45	$43.61	$1,348.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.84 / $48.86	Professional		$39.45	$39.84	$48.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $42.80 / $42.80	Facility		$39.45	$42.80	$42.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $40.22	Professional		$39.45	$39.45	$40.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $39.45 / $77.59	Facility		$39.45	$39.45	$77.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $37.21 / $39.45	Facility		$37.21	$37.21	$39.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $391.19 / $391.19	Professional		$50.14	$391.19	$391.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $69.04	Professional		$39.45	$39.45	$69.04