Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $103.85 / $175.34	Professional		$87.41	$103.85	$175.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.98 / $201.98 / $201.98	Facility		$201.98	$201.98	$201.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $161.97 / $368.65	Professional		$16.20	$161.97	$368.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $130.65 / $325.58	Facility		$16.97	$130.65	$325.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $128.76 / $199.59	Professional		$17.17	$128.76	$199.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.15 / $83.15 / $83.15	Facility		$83.15	$83.15	$83.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $83.15 / $228.75	Professional		$60.70	$83.15	$228.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $201.98 / $425.00	Professional		$153.50	$201.98	$425.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $103.34 / $196.09	Professional		$68.90	$103.34	$196.09