Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $46.90	Facility		$19.73	$19.73	$46.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $22.19 / $28.76	Professional		$18.71	$22.19	$28.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $58.21 / $152.60	Facility		$41.58	$58.21	$152.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $34.57 / $66.37	Professional		$13.31	$34.57	$66.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $35.34 / $76.92	Facility		$34.29	$35.34	$76.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $35.34 / $35.34	Professional		$35.34	$35.34	$35.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $23.09	Facility		$23.09	$23.09	$23.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.09 / $48.00	Professional		$16.86	$23.09	$48.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.60 / $41.58 / $57.69	Professional		$31.60	$41.58	$57.69
United Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $20.74 / $34.21	Professional		$13.83	$20.74	$34.21