Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $144.13 / $248.08	Facility		$52.04	$144.13	$248.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $62.61 / $139.99	Professional		$52.04	$62.61	$139.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $99.99 / $270.77	Facility		$56.49	$99.99	$270.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $38.65 / $156.80	Professional		$28.98	$38.65	$156.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.20 / $78.26 / $125.22	Facility		$52.20	$78.26	$125.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $172.17 / $241.36	Facility		$66.34	$172.17	$241.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $95.40 / $119.25	Professional		$53.93	$95.40	$119.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $101.74 / $281.17	Professional		$85.52	$101.74	$281.17
United Facility/Professional Facility Modifier Low / Median / High Price $43.04 / $43.04 / $44.84	Facility		$43.04	$43.04	$44.84
United Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $53.38 / $109.34	Professional		$32.86	$53.38	$109.34