Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $401.52 / $764.15	Facility		$166.23	$401.52	$764.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $166.23 / $168.13	Professional		$164.59	$166.23	$168.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $329.18 / $436.16	Facility		$164.59	$329.18	$436.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $164.59 / $233.71	Professional		$139.90	$164.59	$233.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $246.89	Facility		$164.59	$164.59	$246.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $205.74	Professional		$164.59	$164.59	$205.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $164.59 / $461.15	Facility		$164.59	$164.59	$461.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $460.08	Professional		$164.59	$164.59	$460.08
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $210.36	Professional		$164.59	$164.59	$210.36