Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $85.78 / $144.24	Professional		$71.75	$85.78	$144.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.63 / $163.63 / $163.63	Facility		$163.63	$163.63	$163.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $131.22 / $298.68	Professional		$13.12	$131.22	$298.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.23 / $119.52 / $263.77	Facility		$14.23	$119.52	$263.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $104.32 / $159.62	Professional		$13.91	$104.32	$159.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.53 / $70.53 / $70.53	Facility		$70.53	$70.53	$70.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $70.53 / $189.38	Professional		$51.49	$70.53	$189.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $163.63 / $454.00	Professional		$124.36	$163.63	$454.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $91.87 / $158.87	Professional		$58.57	$91.87	$158.87