Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.57 / $86.57 / $205.63	Facility		$86.57	$86.57	$205.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $109.35 / $144.81	Professional		$86.57	$109.35	$144.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.29 / $255.21 / $669.00	Facility		$182.29	$255.21	$669.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $151.57 / $291.01	Professional		$97.20	$151.57	$291.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $194.49 / $337.24	Facility		$154.94	$194.49	$337.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $154.94 / $154.94	Professional		$154.94	$154.94	$154.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.95 / $111.95 / $111.95	Facility		$111.95	$111.95	$111.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $111.94 / $239.25	Professional		$81.72	$111.94	$239.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $182.29 / $325.24	Professional		$138.54	$182.29	$325.24
United Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $90.94 / $150.05	Professional		$60.63	$90.94	$150.05