Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.66 / $134.19 / $175.01	Facility		$130.66	$134.19	$175.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $134.19 / $189.69	Professional		$134.19	$134.19	$189.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $156.40 / $492.48	Facility		$134.19	$156.40	$492.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $180.21 / $185.27	Professional		$134.19	$180.21	$185.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $134.19 / $263.01	Facility		$134.19	$134.19	$263.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $126.60 / $177.04	Facility		$126.60	$126.60	$177.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $160.94 / $171.68	Professional		$8.52	$160.94	$171.68
United Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $195.02 / $195.02	Professional		$134.19	$195.02	$195.02