Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $141.25 / $316.23	Facility		$91.20	$141.25	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $74.13 / $104.71	Professional		$67.61	$74.13	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $275.42	Facility		$91.20	$91.20	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $91.20	Professional		$44.67	$54.95	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $114.82	Facility		$60.26	$60.26	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $91.20 / $199.53	Facility		$64.57	$91.20	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $208.93	Professional		$40.74	$66.07	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $91.20 / $91.20	Facility		$40.74	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $100.00	Professional		$38.02	$54.95	$100.00