Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.32 / $252.56 / $1,369.98	Facility		$243.32	$252.56	$1,369.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $246.40 / $308.00	Professional		$215.60	$246.40	$308.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.20 / $277.20 / $323.70	Facility		$123.20	$277.20	$323.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $123.20 / $123.20	Professional		$104.72	$123.20	$123.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.60 / $431.20 / $508.20	Facility		$369.60	$431.20	$508.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.20 / $415.80 / $616.00	Professional		$354.20	$415.80	$616.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $239.65 / $406.41	Facility		$200.20	$239.65	$406.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.85 / $354.20 / $1,484.56	Professional		$141.85	$354.20	$1,484.56
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $184.80 / $338.80	Professional		$129.36	$184.80	$338.80