Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.78 / $164.60 / $164.60	Facility		$94.78	$164.60	$164.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.60 / $222.21	Professional		$164.59	$164.60	$222.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.16 / $182.54 / $195.78	Facility		$155.16	$182.54	$195.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $159.75 / $159.75	Professional		$159.75	$159.75	$159.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.97 / $163.66 / $320.77	Facility		$158.97	$163.66	$320.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Facility		$175.41	$175.41	$175.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $195.00 / $265.00	Professional		$158.97	$195.00	$265.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $187.09 / $195.88	Professional		$156.69	$187.09	$195.88