Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.11 / $29.57	Professional		$16.07	$19.11	$29.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $28.81 / $61.76	Professional		$2.75	$28.81	$61.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $24.97 / $62.15	Facility		$3.27	$24.97	$62.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.27 / $24.57 / $33.28	Professional		$3.27	$24.57	$33.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $30.30 / $55.78	Professional		$15.97	$30.30	$55.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $38.54 / $90.59	Professional		$4.26	$38.54	$90.59
United Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $20.95 / $37.38	Professional		$12.68	$20.95	$37.38