Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.71 / $205.71 / $1,022.80	Facility		$205.71	$205.71	$1,022.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.02 / $216.59 / $260.10	Professional		$199.02	$216.59	$260.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.03 / $312.76 / $431.52	Professional		$145.03	$312.76	$431.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.89 / $208.89 / $208.89	Professional		$208.89	$208.89	$208.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.48 / $264.48 / $264.48	Facility		$264.48	$264.48	$264.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.71 / $296.31 / $547.12	Professional		$190.71	$296.31	$547.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.01 / $331.51 / $786.00	Professional		$255.01	$331.51	$786.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $301.64 / $500.10	Professional		$205.35	$301.64	$500.10