Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $125.66	Facility		$52.91	$52.91	$125.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $55.14 / $88.49	Professional		$41.66	$55.14	$88.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.41 / $155.97 / $408.87	Facility		$111.41	$155.97	$408.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $92.63 / $177.85	Professional		$52.51	$92.63	$177.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $94.70 / $206.11	Facility		$84.88	$94.70	$206.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Professional		$94.70	$94.70	$94.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Facility		$64.62	$64.62	$64.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $63.21 / $115.88	Professional		$47.17	$63.21	$115.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.67 / $111.41 / $163.66	Professional		$84.67	$111.41	$163.66
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $52.49 / $91.67	Professional		$37.04	$52.49	$91.67