Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $240.16 / $262.93	Professional		$135.38	$240.16	$262.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.27 / $300.27 / $300.27	Facility		$300.27	$300.27	$300.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.53 / $276.08 / $498.49	Professional		$170.53	$276.08	$498.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.27 / $435.39 / $480.43	Facility		$300.27	$435.39	$480.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.94 / $114.94 / $114.94	Professional		$114.94	$114.94	$114.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $300.27 / $448.13	Professional		$240.22	$300.27	$448.13
United Facility/Professional Professional Modifier Low / Median / High Price $99.87 / $136.01 / $203.09	Professional		$99.87	$136.01	$203.09