Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $147.69 / $831.24	Facility		$23.06	$147.69	$831.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $123.36 / $227.90	Professional		$22.36	$123.36	$227.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.46 / $36.46 / $494.16	Facility		$36.46	$36.46	$494.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $103.26 / $386.49	Professional		$21.27	$103.26	$386.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $21.75 / $26.97	Facility		$17.39	$21.75	$26.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $162.60 / $203.25	Professional		$135.50	$162.60	$203.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Facility		$32.03	$32.03	$32.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.05 / $144.32 / $301.79	Professional		$22.05	$144.32	$301.79
United Facility/Professional Professional Modifier Low / Median / High Price $159.44 / $198.50 / $283.30	Professional		$159.44	$198.50	$283.30