Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.32 / $41.32 / $110.38	Facility		$41.32	$41.32	$110.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $49.71 / $59.03	Professional		$37.28	$49.71	$59.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $63.84 / $79.68	Facility		$40.47	$63.84	$79.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $37.28 / $89.48	Professional		$23.94	$37.28	$89.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $99.42	Facility		$62.14	$62.14	$99.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $136.71 / $172.08	Facility		$92.83	$136.71	$172.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $75.58 / $94.48	Professional		$71.45	$75.58	$94.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $71.45 / $80.78	Professional		$68.34	$71.45	$80.78
United Facility/Professional Facility Modifier Low / Median / High Price $55.93 / $55.93 / $62.14	Facility		$55.93	$55.93	$62.14
United Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $37.28 / $62.14	Professional		$27.34	$37.28	$62.14