Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $127.55 / $127.55	Facility		$76.20	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.54 / $127.55 / $176.33	Professional		$127.54	$127.55	$176.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.94 / $139.93 / $150.08	Facility		$118.94	$139.93	$150.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $122.46 / $122.46	Professional		$122.46	$122.46	$122.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.82 / $125.41 / $245.79	Facility		$121.82	$125.41	$245.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Facility		$134.47	$134.47	$134.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $67.37 / $103.49	Professional		$3.20	$67.37	$103.49
United Facility/Professional Facility Modifier Low / Median / High Price $371.22 / $371.22 / $371.22	Facility		$371.22	$371.22	$371.22
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $134.99 / $150.08	Professional		$120.06	$134.99	$150.08