Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $77.62 / $323.59	Facility		$57.54	$77.62	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $83.18	Professional		$57.54	$67.61	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $109.65 / $120.23	Facility		$61.66	$109.65	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $66.07	Professional		$44.67	$45.71	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $239.88 / $263.03	Facility		$138.04	$239.88	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $165.96	Professional		$60.26	$131.83	$165.96
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 $57.54 / $77.62 / $95.50	Facility		$57.54	$77.62	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $147.91	Professional		$39.81	$51.29	$147.91