Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $82.46 / $195.88	Facility		$82.46	$82.46	$195.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $92.66 / $115.74	Professional		$78.12	$92.66	$115.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.65 / $243.11 / $637.29	Facility		$173.65	$243.11	$637.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.46 / $144.38 / $277.20	Professional		$91.46	$144.38	$277.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $147.60 / $321.25	Facility		$143.28	$147.60	$321.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Facility		$104.24	$104.24	$104.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $200.25	Professional		$76.09	$104.24	$200.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $173.65 / $240.85	Professional		$131.97	$173.65	$240.85
United Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $86.63 / $142.91	Professional		$57.75	$86.63	$142.91