Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $78.93 / $115.29	Facility		$78.43	$78.93	$115.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $94.90	Professional		$78.93	$78.93	$94.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $128.50 / $289.67	Facility		$78.93	$128.50	$289.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $154.69	Facility		$78.93	$78.93	$154.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $74.47 / $78.93	Facility		$74.47	$74.47	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $275.00 / $426.00	Professional		$88.51	$275.00	$426.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $88.26	Professional		$78.93	$78.93	$88.26