Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.22 / $398.22 / $398.22	Facility		$398.22	$398.22	$398.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.22 / $409.50 / $451.92	Professional		$398.22	$409.50	$451.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $38.60	Facility		$20.00	$20.00	$38.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $20.00 / $28.40	Professional		$17.00	$20.00	$28.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $167.72 / $481.54	Facility		$92.87	$167.72	$481.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $520.05 / $520.05	Professional		$520.05	$520.05	$520.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.61 / $561.51 / $2,205.59	Professional		$386.61	$561.51	$2,205.59
United Facility/Professional Professional Modifier Low / Median / High Price $396.03 / $513.88 / $719.71	Professional		$396.03	$513.88	$719.71