Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $81.28 / $186.21	Facility		$50.12	$81.28	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $67.61	Professional		$37.15	$47.86	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $91.20	Facility		$36.31	$67.61	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $114.82	Professional		$25.12	$44.67	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $91.20 / $169.82	Facility		$56.23	$91.20	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $67.61 / $85.11	Professional		$25.70	$67.61	$85.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $199.53	Professional		$61.66	$79.43	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $50.12 / $67.61	Facility		$30.90	$50.12	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $102.33	Professional		$23.44	$37.15	$102.33