Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $49.03 / $116.48	Facility		$49.03	$49.03	$116.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $55.10 / $71.34	Professional		$46.45	$55.10	$71.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $144.56 / $378.96	Facility		$103.26	$144.56	$378.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $85.85 / $164.83	Professional		$54.96	$85.85	$164.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.21 / $87.77 / $191.03	Facility		$85.21	$87.77	$191.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $87.77 / $87.77	Professional		$87.77	$87.77	$87.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $69.65 / $69.65	Facility		$69.65	$69.65	$69.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.84 / $65.01 / $118.88	Professional		$50.84	$65.01	$118.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $103.26 / $143.43	Professional		$62.46	$103.26	$143.43
United Facility/Professional Professional Modifier Low / Median / High Price $34.34 / $51.51 / $84.99	Professional		$34.34	$51.51	$84.99