Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.75 / $266.75 / $514.83	Facility		$266.75	$266.75	$514.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $266.75 / $359.36	Professional		$229.20	$266.75	$359.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.99 / $483.87 / $659.10	Facility		$334.99	$483.87	$659.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $341.75 / $527.28 / $659.10	Professional		$341.75	$527.28	$659.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $223.29	Facility		$223.29	$223.29	$223.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $352.11	Professional		$163.00	$163.00	$352.11
United Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $152.77 / $254.62	Professional		$113.76	$152.77	$254.62