Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $252.57 / $451.53	Facility		$142.63	$252.57	$451.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $142.63 / $158.31	Professional		$92.71	$142.63	$158.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $427.89 / $774.77	Facility		$57.05	$427.89	$774.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $76.84	Professional		$57.05	$57.05	$76.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $192.55 / $228.21	Facility		$142.63	$192.55	$228.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $156.88 / $202.18	Professional		$142.63	$156.88	$202.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.71 / $269.60 / $556.77	Facility		$92.71	$269.60	$556.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $118.30 / $207.00	Professional		$73.80	$118.30	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $144.50 / $173.40	Professional		$87.44	$144.50	$173.40