Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $131.47 / $513.16	Facility		$80.51	$131.47	$513.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $129.50 / $204.13	Professional		$97.13	$129.50	$204.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.29 / $175.79 / $560.10	Facility		$98.29	$175.79	$560.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $64.75 / $167.22	Professional		$48.56	$64.75	$167.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.31 / $161.88 / $259.01	Facility		$95.31	$161.88	$259.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $254.64 / $356.14	Facility		$66.00	$254.64	$356.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.63 / $197.41 / $246.76	Professional		$46.63	$197.41	$246.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.89 / $210.44 / $258.80	Professional		$176.89	$210.44	$258.80
United Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $67.98 / $161.88	Professional		$48.31	$67.98	$161.88