Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $101.37	Professional		$73.81	$73.81	$101.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $86.04 / $270.92	Facility		$73.81	$86.04	$270.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $66.43 / $67.75	Professional		$66.43	$66.43	$67.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $144.69	Facility		$73.81	$73.81	$144.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Facility		$72.52	$72.52	$72.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $190.00 / $225.00	Professional		$81.20	$190.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $77.70 / $92.28	Professional		$73.81	$77.70	$92.28