Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.97 / $232.76 / $746.87	Facility		$165.97	$232.76	$746.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.63 / $165.97 / $192.28	Professional		$137.63	$165.97	$192.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.90 / $181.15 / $607.20	Facility		$159.90	$181.15	$607.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $80.95 / $111.72	Professional		$80.95	$80.95	$111.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $263.12 / $283.36	Facility		$202.40	$263.12	$283.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $202.40 / $242.88 / $303.60	Professional		$202.40	$242.88	$303.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $202.40 / $471.22	Facility		$131.56	$202.40	$471.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $140.68 / $290.64	Professional		$88.24	$140.68	$290.64
United Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $121.44 / $222.44	Professional		$85.01	$121.44	$222.44