Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $398.11 / $954.99	Facility		$257.04	$398.11	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $371.54	Professional		$199.53	$229.09	$371.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $776.25	Facility		$257.04	$257.04	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $125.89 / $257.04	Professional		$123.03	$125.89	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $257.04 / $257.04	Facility		$204.17	$257.04	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $363.08	Professional		$257.04	$281.84	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $575.44	Facility		$208.93	$257.04	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $467.74 / $660.69	Professional		$173.78	$467.74	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Facility		$257.04	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $281.84	Professional		$107.15	$154.88	$281.84