Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.86 / $26.62	Facility		$18.11	$18.86	$26.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.86 / $21.91	Professional		$18.11	$18.86	$21.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $30.70 / $69.22	Facility		$18.86	$30.70	$69.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $36.97	Facility		$18.86	$18.86	$36.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $17.79 / $18.86	Facility		$17.79	$17.79	$18.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $58.00 / $58.00	Professional		$19.94	$58.00	$58.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $22.24	Professional		$18.86	$18.86	$22.24