Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $17.62 / $25.64	Facility		$17.44	$17.62	$25.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.79 / $21.10	Professional		$17.62	$17.79	$21.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $28.69 / $64.67	Facility		$17.62	$28.69	$64.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $34.54	Facility		$17.62	$17.62	$34.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $17.62	Facility		$16.62	$16.62	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Professional		$17.62	$17.62	$17.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $320.52 / $320.52	Professional		$19.16	$320.52	$320.52
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $17.62 / $27.27	Professional		$17.62	$17.62	$27.27