Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.23 / $231.73 / $705.25	Facility		$165.23	$231.73	$705.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.11 / $165.23 / $190.30	Professional		$149.11	$165.23	$190.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.19 / $181.35 / $604.50	Facility		$159.19	$181.35	$604.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.15 / $135.44	Professional		$98.15	$98.15	$135.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.50 / $261.95 / $282.10	Facility		$201.50	$261.95	$282.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $241.80 / $302.25	Professional		$201.50	$241.80	$302.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.69 / $201.50 / $520.66	Facility		$161.69	$201.50	$520.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.56 / $188.27 / $353.60	Professional		$129.56	$188.27	$353.60
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $123.20 / $248.45	Professional		$84.63	$123.20	$248.45