Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $100.79 / $100.79	Facility		$100.79	$100.79	$100.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $100.79 / $100.79	Professional		$97.14	$100.79	$100.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.19 / $109.79 / $109.79	Facility		$101.19	$109.79	$109.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $101.19 / $115.36	Professional		$31.59	$101.19	$115.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $106.25 / $208.25	Facility		$103.22	$106.25	$208.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.67 / $100.69	Professional		$83.18	$85.67	$100.69
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $121.43	Professional		$101.19	$101.19	$121.43