Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $28.54 / $67.79	Facility		$28.54	$28.54	$67.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $32.06 / $44.67	Professional		$27.04	$32.06	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.10 / $84.14 / $220.57	Facility		$60.10	$84.14	$220.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $49.97 / $95.94	Professional		$31.69	$49.97	$95.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $51.09 / $111.19	Facility		$49.55	$51.09	$111.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $51.09 / $51.09	Professional		$51.09	$51.09	$51.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $33.35	Facility		$33.35	$33.35	$33.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $33.35 / $69.38	Professional		$24.35	$33.35	$69.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $60.10 / $83.74	Professional		$45.68	$60.10	$83.74
United Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $26.07 / $30.82	Facility		$16.41	$26.07	$30.82
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $29.98 / $49.46	Professional		$19.98	$29.98	$49.46