Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $105.18 / $140.10	Professional		$88.53	$105.18	$140.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.10 / $180.10 / $180.10	Facility		$180.10	$180.10	$180.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $152.99 / $344.68	Professional		$15.91	$152.99	$344.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $21.76 / $201.08	Facility		$16.52	$21.76	$201.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $21.76	Professional		$16.86	$16.86	$21.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $112.73 / $167.97	Facility		$112.00	$112.73	$167.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $112.73 / $221.25	Professional		$15.59	$112.73	$221.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $239.82 / $448.00	Professional		$139.13	$239.82	$448.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $102.62 / $173.09	Professional		$58.53	$102.62	$173.09