Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $24.29 / $431.02	Facility		$23.61	$24.29	$431.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.84 / $29.39	Professional		$23.61	$23.84	$29.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $25.62 / $25.62	Facility		$23.61	$25.62	$25.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.61 / $23.61	Professional		$23.00	$23.61	$23.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.61 / $23.61 / $46.28	Facility		$23.61	$23.61	$46.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $22.27 / $23.61	Facility		$22.27	$22.27	$23.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $23.61	Professional		$23.61	$23.61	$23.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $28.12	Professional		$14.75	$14.75	$28.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $23.61 / $40.06	Professional		$23.61	$23.61	$40.06