Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $154.88 / $323.59	Facility		$75.86	$154.88	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $112.20	Professional		$75.86	$89.13	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $125.89 / $169.82	Facility		$87.10	$125.89	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $87.10 / $144.54	Professional		$45.71	$87.10	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $346.74	Facility		$177.83	$251.19	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $173.78	Professional		$131.83	$138.04	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $147.91	Professional		$125.89	$131.83	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $114.82	Facility		$63.10	$102.33	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $165.96	Professional		$47.86	$69.18	$165.96