Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $68.50 / $263.72	Facility		$68.50	$68.50	$263.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $83.94 / $124.73	Professional		$68.50	$83.94	$124.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $198.02 / $519.08	Facility		$141.44	$198.02	$519.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $122.99 / $271.80	Professional		$13.77	$122.99	$271.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $113.15 / $228.00	Facility		$11.36	$113.15	$228.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $90.17 / $120.22	Professional		$12.02	$90.17	$120.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $96.60 / $96.60	Facility		$94.41	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $156.75	Professional		$82.11	$96.60	$156.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $141.44 / $226.30	Professional		$29.85	$141.44	$226.30
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $107.84 / $214.15	Professional		$67.20	$107.84	$214.15