Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $45.37 / $107.76	Facility		$45.37	$45.37	$107.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $55.55 / $85.97	Professional		$45.37	$55.55	$85.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.54 / $133.76 / $350.63	Facility		$95.54	$133.76	$350.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $79.44 / $152.52	Professional		$50.94	$79.44	$152.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.20 / $86.28 / $176.75	Facility		$81.20	$86.28	$176.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $81.20	Professional		$81.20	$81.20	$81.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $61.81 / $61.81	Facility		$61.81	$61.81	$61.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $60.47 / $110.63	Professional		$45.12	$60.47	$110.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $95.54 / $173.82	Professional		$72.61	$95.54	$173.82
United Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $47.66 / $95.54	Professional		$32.31	$47.66	$95.54