Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Facility		$199.09	$199.09	$199.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $205.46 / $225.96	Professional		$199.09	$205.46	$225.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $19.30	Facility		$10.00	$10.00	$19.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $10.00 / $14.20	Professional		$8.50	$10.00	$14.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $76.37 / $240.96	Facility		$46.08	$76.37	$240.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $260.24 / $260.24 / $260.24	Professional		$260.24	$260.24	$260.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.44 / $281.08 / $1,102.07	Professional		$193.44	$281.08	$1,102.07
United Facility/Professional Professional Modifier Low / Median / High Price $198.27 / $258.13 / $362.23	Professional		$198.27	$258.13	$362.23