Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $257.04	Professional		$141.25	$181.97	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $151.36 / $398.11	Professional		$17.78	$151.36	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $309.03	Facility		$33.11	$33.11	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $239.88 / $389.05	Professional		$26.92	$239.88	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $354.81 / $575.44	Professional		$50.12	$354.81	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $100.00 / $199.53	Facility		$15.14	$100.00	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $288.40	Professional		$97.72	$165.96	$288.40