Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $220.80 / $672.00	Facility		$157.44	$220.80	$672.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $157.44 / $182.40	Professional		$142.08	$157.44	$182.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $576.00 / $1,042.36	Facility		$33.47	$576.00	$1,042.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $91.78	Professional		$33.47	$33.47	$91.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.00 / $249.60 / $268.80	Facility		$192.00	$249.60	$268.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $230.40 / $288.00	Professional		$192.00	$230.40	$288.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.80 / $192.00 / $427.68	Facility		$124.80	$192.00	$427.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $85.54 / $276.19	Professional		$36.58	$85.54	$276.19
United Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $80.64 / $179.37	Professional		$46.02	$80.64	$179.37