Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $131.83	Facility		$50.12	$50.12	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $56.23 / $95.50	Professional		$48.98	$56.23	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $257.04 / $398.11	Facility		$109.65	$257.04	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $138.04	Professional		$56.23	$89.13	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $181.97	Facility		$66.07	$66.07	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $117.49	Professional		$48.98	$48.98	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $190.55	Professional		$75.86	$109.65	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $50.12 / $69.18	Facility		$31.62	$50.12	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $104.71	Professional		$35.48	$52.48	$104.71