Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $309.03	Facility		$223.87	$223.87	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $81.28 / $154.88	Professional		$25.12	$81.28	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $8.71	Facility		$4.47	$4.47	$8.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.75 / $14.45	Professional		$4.47	$5.75	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $30.90	Facility		$22.91	$22.91	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $27.54	Professional		$14.79	$23.99	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $21.88 / $43.65	Professional		$5.89	$21.88	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.72 / $15.49	Facility		$6.03	$10.72	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $21.88	Professional		$7.94	$10.23	$21.88