Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $70.09 / $110.74	Professional		$59.00	$70.09	$110.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $128.65 / $128.65	Facility		$128.65	$128.65	$128.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $103.18 / $197.36	Professional		$10.32	$103.18	$197.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.94 / $106.72 / $207.38	Facility		$10.94	$106.72	$207.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $82.02 / $154.05	Professional		$10.94	$82.02	$154.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $114.51	Facility		$81.17	$81.17	$114.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $144.38	Professional		$68.98	$81.17	$144.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $128.65 / $353.00	Professional		$97.77	$128.65	$353.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $86.64 / $150.51	Professional		$48.10	$86.64	$150.51