Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.79 / $57.79 / $137.30	Facility		$57.79	$57.79	$137.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $64.95 / $90.53	Professional		$54.75	$64.95	$90.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $170.37 / $446.60	Facility		$121.69	$170.37	$446.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.14 / $101.19 / $194.28	Professional		$64.14	$101.19	$194.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $103.44 / $225.13	Facility		$100.43	$103.44	$225.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.44 / $103.44 / $103.44	Professional		$103.44	$103.44	$103.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $67.56 / $140.25	Professional		$49.33	$67.56	$140.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $121.69 / $169.41	Professional		$92.48	$121.69	$169.41
United Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $60.71 / $121.06	Professional		$40.47	$60.71	$121.06