Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $168.15 / $229.29	Facility		$133.16	$168.15	$229.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $134.83 / $196.85	Professional		$134.83	$134.83	$196.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $154.35 / $165.54	Facility		$131.19	$154.35	$165.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $135.08 / $135.08	Professional		$135.08	$135.08	$135.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.83 / $138.79 / $272.02	Facility		$134.83	$138.79	$272.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Facility		$148.32	$148.32	$148.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $148.32 / $148.32	Professional		$148.32	$148.32	$148.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $91.39 / $123.54	Professional		$4.26	$91.39	$123.54
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $158.62 / $165.54	Professional		$132.43	$158.62	$165.54