Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.10 / $139.10 / $330.41	Facility		$139.10	$139.10	$330.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $175.70 / $243.83	Professional		$135.07	$175.70	$243.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.89 / $410.06 / $1,074.94	Facility		$292.89	$410.06	$1,074.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $243.54 / $467.60	Professional		$168.39	$243.54	$467.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.97 / $289.20 / $541.87	Facility		$248.97	$289.20	$541.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.97 / $248.97 / $248.97	Professional		$248.97	$248.97	$248.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.86 / $181.86 / $181.86	Facility		$181.86	$181.86	$181.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $132.76 / $373.50	Professional		$132.76	$132.76	$373.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $222.60 / $292.89 / $577.98	Professional		$222.60	$292.89	$577.98
United Facility/Professional Facility Modifier Low / Median / High Price $89.50 / $143.90 / $161.19	Facility		$89.50	$143.90	$161.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $146.12 / $241.07	Professional		$97.42	$146.12	$241.07