Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.83 / $154.83 / $395.47	Facility		$154.83	$154.83	$395.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $154.83 / $154.83	Professional		$149.22	$154.83	$154.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $123.36 / $190.69	Facility		$51.96	$123.36	$190.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $155.44 / $177.21	Professional		$136.63	$155.44	$177.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $163.22 / $319.92	Facility		$158.56	$163.22	$319.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $77.23 / $154.84	Professional		$77.23	$77.23	$154.84
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $162.72	Professional		$155.44	$155.44	$162.72