Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $30.77 / $938.68	Facility		$25.46	$30.77	$938.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.71 / $37.22	Professional		$25.46	$25.71	$37.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $41.45 / $93.44	Facility		$25.46	$41.45	$93.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $41.98 / $42.26	Professional		$25.46	$41.98	$42.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $49.90	Facility		$25.46	$25.46	$49.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $24.02 / $25.46	Facility		$24.02	$24.02	$25.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $29.63 / $36.15	Professional		$29.63	$29.63	$36.15
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $39.27	Professional		$25.46	$25.46	$39.27