Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.42 / $380.65 / $1,158.50	Facility		$271.42	$380.65	$1,158.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.94 / $271.42 / $314.45	Professional		$244.94	$271.42	$314.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $261.49 / $296.25 / $993.00	Facility		$261.49	$296.25	$993.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $70.22 / $122.97	Professional		$70.22	$70.22	$122.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $430.30 / $463.40	Facility		$331.00	$430.30	$463.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $397.20 / $496.50	Professional		$331.00	$397.20	$496.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $331.00 / $769.70	Facility		$215.15	$331.00	$769.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $298.02 / $480.00	Professional		$92.69	$298.02	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.02 / $155.44 / $363.77	Professional		$139.02	$155.44	$363.77