Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $107.63 / $107.63	Facility		$107.63	$107.63	$107.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $107.63 / $109.92	Professional		$92.44	$107.63	$109.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.76 / $154.94 / $173.12	Facility		$136.76	$154.94	$173.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.50 / $133.63 / $176.40	Professional		$124.50	$133.63	$176.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.34 / $129.84 / $225.06	Facility		$16.34	$129.84	$225.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $115.74 / $207.74	Professional		$14.71	$115.74	$207.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $111.50 / $111.50	Facility		$111.50	$111.50	$111.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.78 / $111.50 / $184.72	Professional		$94.78	$111.50	$184.72
United Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $86.12 / $134.54	Professional		$53.48	$86.12	$134.54