Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $165.83 / $281.91	Facility		$161.96	$165.83	$281.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.73 / $195.55 / $331.66	Facility		$187.73	$195.55	$331.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $165.83 / $165.83	Professional		$140.94	$165.83	$165.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $180.32 / $265.33	Facility		$165.83	$180.32	$265.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $182.41 / $255.38	Professional		$165.83	$182.41	$255.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.97 / $163.37 / $165.83	Facility		$155.97	$163.37	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $165.83 / $288.98	Professional		$103.54	$165.83	$288.98
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83