Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $54.62 / $129.75	Facility		$54.62	$54.62	$129.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $57.60 / $76.66	Professional		$42.72	$57.60	$76.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $161.03 / $422.12	Facility		$115.02	$161.03	$422.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $95.63 / $183.61	Professional		$52.58	$95.63	$183.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $97.77 / $212.79	Facility		$79.73	$97.77	$212.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $97.77 / $97.77	Professional		$97.77	$97.77	$97.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $66.78	Facility		$66.78	$66.78	$66.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $117.38	Professional		$48.75	$66.78	$117.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.42 / $115.02 / $164.75	Professional		$87.42	$115.02	$164.75
United Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $54.01 / $94.78	Professional		$38.25	$54.01	$94.78