Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $323.59 / $575.44	Facility		$194.98	$323.59	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $239.88	Professional		$151.36	$190.55	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $239.88 / $251.19	Facility		$199.53	$239.88	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $245.47	Professional		$186.21	$245.47	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $331.13 / $457.09	Facility		$239.88	$331.13	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $389.05	Professional		$257.04	$309.03	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $380.19 / $380.19	Facility		$154.88	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,148.15 / $1,148.15	Professional		$109.65	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $239.88	Professional		$97.72	$141.25	$239.88