Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.47 / $816.47 / $816.47	Facility		$816.47	$816.47	$816.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $816.47 / $1,004.88	Professional		$516.40	$816.47	$1,004.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.10 / $560.10 / $1,080.99	Facility		$560.10	$560.10	$1,080.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.08 / $560.10 / $772.93	Professional		$448.08	$560.10	$772.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.93 / $125.71 / $154.72	Facility		$82.93	$125.71	$154.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $111.21 / $130.55	Professional		$96.70	$111.21	$130.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.06 / $1,045.06 / $1,045.06	Facility		$1,045.06	$1,045.06	$1,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $24.99 / $190.49	Professional		$24.99	$24.99	$190.49
United Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $72.88 / $199.28	Professional		$40.57	$72.88	$199.28