Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $162.18	Facility		$61.66	$61.66	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $117.49	Professional		$56.23	$64.57	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $316.23 / $489.78	Facility		$134.90	$316.23	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $165.96	Professional		$70.79	$109.65	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $208.93	Facility		$75.86	$75.86	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $134.90	Professional		$54.95	$54.95	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $218.78	Professional		$87.10	$134.90	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $87.10	Facility		$36.31	$57.54	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $114.82	Professional		$43.65	$64.57	$114.82