Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $59.76 / $141.97	Facility		$59.76	$59.76	$141.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $65.50 / $90.21	Professional		$47.33	$65.50	$90.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.85 / $176.19 / $461.87	Facility		$125.85	$176.19	$461.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $104.64 / $200.91	Professional		$59.66	$104.64	$200.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $110.36 / $232.82	Facility		$82.77	$110.36	$232.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.99 / $83.99 / $83.99	Facility		$83.99	$83.99	$83.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.31 / $78.00 / $129.93	Professional		$61.31	$78.00	$129.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $125.85 / $182.33	Professional		$95.65	$125.85	$182.33
United Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $60.17 / $129.84	Professional		$41.86	$60.17	$129.84