Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $305.36 / $370.21	Facility		$133.47	$305.36	$370.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.46 / $133.47 / $213.60	Professional		$133.46	$133.47	$213.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $266.94 / $353.70	Facility		$133.47	$266.94	$353.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.77 / $133.47 / $189.52	Professional		$106.77	$133.47	$189.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $133.47 / $198.87	Facility		$133.47	$133.47	$198.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $133.47 / $153.49	Professional		$133.47	$133.47	$153.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.13 / $131.13 / $131.13	Facility		$131.13	$131.13	$131.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $360.61	Professional		$131.13	$131.13	$360.61
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $132.30 / $140.50	Professional		$117.08	$132.30	$140.50