Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $275.42 / $645.65	Facility		$173.78	$275.42	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $165.96	Professional		$114.82	$144.54	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $524.81	Facility		$173.78	$173.78	$524.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $173.78	Professional		$57.54	$79.43	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,511.89 / $3,801.89	Facility		$169.82	$2,511.89	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $524.81	Professional		$104.71	$213.80	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78