Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.17 / $386.17 / $426.01	Facility		$386.17	$386.17	$426.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $386.17 / $386.17	Professional		$145.04	$386.17	$386.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.52 / $363.12 / $405.72	Facility		$320.52	$363.12	$405.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $267.24	Professional		$178.13	$178.13	$267.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.07 / $433.03 / $577.38	Facility		$322.07	$433.03	$577.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.74 / $396.95 / $451.08	Professional		$352.74	$396.95	$451.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.10 / $106.10 / $106.10	Facility		$106.10	$106.10	$106.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $235.13 / $416.19	Professional		$235.13	$235.13	$416.19
United Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $317.54 / $464.59	Professional		$134.94	$317.54	$464.59