Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $47.86	Professional		$28.18	$33.88	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $47.86 / $79.43	Professional		$4.37	$47.86	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $52.48 / $69.18	Facility		$5.50	$52.48	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $41.69 / $69.18	Professional		$5.50	$41.69	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Facility		$42.66	$42.66	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $74.13	Professional		$36.31	$42.66	$74.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $107.15	Professional		$51.29	$61.66	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $23.99 / $44.67	Facility		$2.88	$23.99	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $63.10	Professional		$22.91	$38.02	$63.10