Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.16 / $68.16 / $98.52	Facility		$68.16	$68.16	$98.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.16 / $69.55 / $79.45	Professional		$68.16	$69.55	$79.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $133.58 / $306.41	Facility		$83.49	$133.58	$306.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $69.41 / $134.16	Professional		$35.85	$69.41	$134.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.89 / $129.41 / $163.63	Facility		$116.89	$129.41	$163.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $115.93	Professional		$0.09	$0.09	$115.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $83.49 / $98.34	Professional		$69.30	$83.49	$98.34
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $84.36 / $123.25	Professional		$42.48	$84.36	$123.25