Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.09 / $139.03 / $283.91	Facility		$63.09	$139.03	$283.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $64.31 / $64.31	Professional		$63.68	$64.31	$64.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $127.36 / $168.75	Facility		$63.68	$127.36	$168.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $63.68 / $90.42	Professional		$54.12	$63.68	$90.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $85.97	Facility		$63.68	$63.68	$85.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $63.68 / $79.59	Professional		$63.68	$63.68	$79.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.68 / $63.68 / $131.03	Facility		$63.68	$63.68	$131.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $63.68 / $159.31	Professional		$52.37	$63.68	$159.31
United Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $71.31 / $108.26	Professional		$63.68	$71.31	$108.26