Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.83 / $285.89 / $647.24	Facility		$143.83	$285.89	$647.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $143.83 / $166.63	Professional		$129.80	$143.83	$166.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.57 / $156.97 / $526.20	Facility		$138.57	$156.97	$526.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $70.16 / $96.82	Professional		$70.16	$70.16	$96.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $228.02 / $245.56	Facility		$175.40	$228.02	$245.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $210.48 / $263.10	Professional		$175.40	$210.48	$263.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $331.35 / $684.47	Facility		$114.01	$331.35	$684.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $126.37 / $254.00	Professional		$78.98	$126.37	$254.00
United Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $175.40 / $210.48	Facility		$175.40	$175.40	$210.48
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $105.24 / $192.76	Professional		$73.67	$105.24	$192.76