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 $60.26 / $79.43 / $120.23	Professional		$60.26	$79.43	$120.23
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 / $177.83	Professional		$70.79	$109.65	$177.83
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 $102.33 / $102.33 / $239.88	Facility		$102.33	$102.33	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $181.97	Professional		$75.86	$75.86	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $199.53	Professional		$93.33	$134.90	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $89.13	Facility		$41.69	$64.57	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $128.82	Professional		$43.65	$66.07	$128.82