Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.46 / $175.07 / $397.84	Facility		$83.46	$175.07	$397.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $97.89 / $247.37	Professional		$83.46	$97.89	$247.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.58 / $160.34 / $434.23	Facility		$90.58	$160.34	$434.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.48 / $61.98 / $251.49	Professional		$46.48	$61.98	$251.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $125.50 / $200.80	Facility		$83.71	$125.50	$200.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.83 / $276.10 / $341.51	Facility		$110.83	$276.10	$341.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $152.81 / $191.01	Professional		$58.51	$152.81	$191.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $163.15 / $450.90	Professional		$137.13	$163.15	$450.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $91.62 / $175.34	Professional		$71.40	$91.62	$175.34