Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $69.45 / $110.78	Professional		$59.03	$69.45	$110.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $128.30 / $128.30	Facility		$128.30	$128.30	$128.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $102.89 / $205.52	Professional		$10.29	$102.89	$205.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $106.40 / $206.81	Facility		$10.91	$106.40	$206.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $81.79 / $155.16	Professional		$10.91	$81.79	$155.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $116.29	Facility		$81.62	$81.62	$116.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $147.75	Professional		$69.38	$81.62	$147.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $128.30 / $205.28	Professional		$94.26	$128.30	$205.28
United Facility/Professional Professional Modifier Low / Median / High Price $48.44 / $87.26 / $143.25	Professional		$48.44	$87.26	$143.25