Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $204.17 / $1,174.90	Facility		$109.65	$204.17	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $194.98	Professional		$107.15	$117.49	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,230.27 / $1,621.81	Facility		$141.25	$1,230.27	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $229.09	Professional		$131.83	$141.25	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $95.50 / $120.23	Facility		$25.12	$95.50	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $218.78 / $389.05	Facility		$97.72	$218.78	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $323.59	Professional		$151.36	$199.53	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $707.95	Facility		$338.84	$338.84	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $234.42	Professional		$114.82	$147.91	$234.42