Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $416.87	Professional		$239.88	$288.40	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $407.38 / $660.69	Professional		$38.02	$407.38	$660.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $436.52 / $588.84	Facility		$45.71	$436.52	$588.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $346.74 / $588.84	Professional		$45.71	$346.74	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $467.74	Facility		$354.81	$354.81	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $616.60	Professional		$302.00	$354.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $891.25	Professional		$457.09	$562.34	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $234.42 / $389.05	Facility		$28.18	$234.42	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $549.54	Professional		$218.78	$354.81	$549.54