Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $133.00 / $355.26	Facility		$133.00	$133.00	$355.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $170.00 / $192.00	Professional		$128.00	$170.00	$192.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $200.00 / $256.47	Facility		$22.04	$200.00	$256.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.28 / $13.28 / $200.00	Professional		$13.28	$13.28	$200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $290.00 / $429.86	Facility		$200.00	$290.00	$429.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $440.00 / $616.49	Facility		$260.00	$440.00	$616.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.85 / $1,125.85 / $1,125.85	Professional		$1,125.85	$1,125.85	$1,125.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $260.00 / $1,558.41	Professional		$180.00	$260.00	$1,558.41
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $411.88	Professional		$84.00	$120.00	$411.88