Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.66 / $493.49 / $932.99	Facility		$206.66	$493.49	$932.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $206.65 / $215.54	Professional		$204.61	$206.65	$215.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $409.22 / $495.16	Facility		$204.61	$409.22	$495.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.91 / $204.61 / $282.36	Professional		$173.91	$204.61	$282.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $204.61 / $306.92	Facility		$204.61	$204.61	$306.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $245.53	Professional		$204.61	$204.61	$245.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Facility		$204.61	$204.61	$204.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.97 / $204.61 / $565.46	Professional		$199.97	$204.61	$565.46
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $219.14	Professional		$81.84	$204.61	$219.14