Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $193.60 / $193.60	Facility		$193.60	$193.60	$193.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $196.02	Professional		$193.60	$193.60	$196.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $69.86 / $193.60	Professional		$38.49	$69.86	$193.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $75.75 / $115.10	Facility		$74.26	$75.75	$115.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $74.26 / $89.11	Professional		$74.26	$74.26	$89.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $242.00	Professional		$220.00	$220.00	$242.00