Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $194.98	Facility		$74.13	$74.13	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $134.90	Professional		$63.10	$75.86	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $302.00 / $457.09	Facility		$125.89	$302.00	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $213.80	Professional		$109.65	$162.18	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $181.97	Facility		$128.82	$128.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $147.91	Professional		$93.33	$93.33	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $239.88	Professional		$72.44	$125.89	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $87.10 / $125.89	Facility		$61.66	$87.10	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $154.88	Professional		$64.57	$97.72	$154.88