Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $63.68 / $91.83	Facility		$62.47	$63.68	$91.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.47 / $63.68 / $75.59	Professional		$62.47	$63.68	$75.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $103.67 / $233.71	Facility		$63.68	$103.67	$233.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $127.26 / $127.26	Professional		$51.09	$127.26	$127.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $124.81	Facility		$63.68	$63.68	$124.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $60.08 / $63.68	Facility		$60.08	$60.08	$63.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $63.68	Professional		$63.68	$63.68	$63.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $81.00 / $101.00	Professional		$46.23	$81.00	$101.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $111.44	Professional		$63.68	$63.68	$111.44