Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $389.05 / $741.31	Facility		$194.98	$389.05	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $194.98	Professional		$134.90	$158.49	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $741.31	Facility		$245.47	$245.47	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $181.97	Professional		$45.71	$69.18	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $3,548.13 / $43,651.58	Facility		$131.83	$3,548.13	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $194.98	Facility		$162.18	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $281.84 / $354.81	Professional		$60.26	$281.84	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $245.47	Facility		$112.20	$194.98	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $194.98	Professional		$81.28	$117.49	$194.98