Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.97 / $489.97 / $489.97	Facility		$489.97	$489.97	$489.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.48 / $489.26 / $495.15	Professional		$387.48	$489.26	$495.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $502.39 / $502.39 / $969.61	Facility		$502.39	$502.39	$969.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.58 / $502.39 / $676.81	Professional		$428.58	$502.39	$676.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.59 / $94.33 / $979.56	Facility		$53.59	$94.33	$979.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $97.96 / $1,028.54	Professional		$61.68	$97.96	$1,028.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $370.80 / $644.37	Professional		$83.67	$370.80	$644.37
United Facility/Professional Professional Modifier Low / Median / High Price $211.05 / $327.55 / $526.71	Professional		$211.05	$327.55	$526.71