Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.13 / $117.13 / $117.13	Facility		$117.13	$117.13	$117.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $117.13 / $118.80	Professional		$69.50	$117.13	$118.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.41 / $134.15 / $149.88	Facility		$118.41	$134.15	$149.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $161.09 / $204.42	Professional		$128.87	$161.09	$204.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $22.97 / $237.60	Facility		$14.53	$22.97	$237.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $22.97 / $249.48	Professional		$14.22	$22.97	$249.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $180.88	Professional		$54.54	$64.17	$180.88
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $72.31 / $154.44	Professional		$48.22	$72.31	$154.44