Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $23.35 / $55.49	Facility		$23.35	$23.35	$55.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $26.17 / $37.36	Professional		$21.75	$26.17	$37.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.18 / $68.84 / $180.49	Facility		$49.18	$68.84	$180.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $40.89 / $78.51	Professional		$25.88	$40.89	$78.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.95 / $41.80 / $90.98	Facility		$38.95	$41.80	$90.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $41.80 / $41.80	Professional		$41.80	$41.80	$41.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $29.64	Facility		$29.64	$29.64	$29.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $21.64 / $59.59	Professional		$21.64	$21.64	$59.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $49.18 / $81.05	Professional		$37.38	$49.18	$81.05
United Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $24.53 / $40.49	Professional		$16.36	$24.53	$40.49