Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $257.33 / $389.60	Professional		$216.59	$257.33	$389.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.98 / $429.98 / $429.98	Facility		$429.98	$429.98	$429.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $383.00 / $699.93	Professional		$39.04	$383.00	$699.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.39 / $52.87 / $533.49	Facility		$41.39	$52.87	$533.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.39 / $41.39 / $52.87	Professional		$41.39	$41.39	$52.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $406.67	Facility		$327.62	$327.62	$406.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $327.62 / $551.25	Professional		$38.27	$327.62	$551.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.74 / $490.74 / $1,405.00	Professional		$286.74	$490.74	$1,405.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.07 / $325.44 / $516.57	Professional		$165.07	$325.44	$516.57