Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $64.44 / $98.64	Professional		$54.24	$64.44	$98.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.52 / $128.52 / $128.52	Facility		$128.52	$128.52	$128.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $94.61 / $211.21	Professional		$8.81	$94.61	$211.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $81.93 / $207.11	Facility		$10.92	$81.93	$207.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $81.91 / $109.24	Professional		$10.92	$81.91	$109.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.94 / $78.94 / $89.48	Facility		$78.94	$78.94	$89.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $78.94 / $186.09	Professional		$67.09	$78.94	$186.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $128.52 / $205.63	Professional		$12.80	$128.52	$205.63
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $60.35 / $105.78	Professional		$37.79	$60.35	$105.78