Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.90 / $52.79	Facility		$35.54	$35.90	$52.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $43.45	Professional		$35.54	$35.90	$43.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $57.88 / $130.47	Facility		$35.54	$57.88	$130.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $35.54 / $35.54	Professional		$28.44	$35.54	$35.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $69.68	Facility		$35.54	$35.54	$69.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $35.54	Facility		$33.54	$33.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $35.54	Professional		$35.54	$35.54	$35.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $15.02 / $37.39	Professional		$15.02	$15.02	$37.39
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $37.74	Professional		$35.54	$35.54	$37.74