Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.14 / $170.14 / $343.76	Facility		$170.14	$170.14	$343.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.60 / $170.14 / $184.64	Professional		$163.60	$170.14	$184.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.57 / $307.67 / $343.76	Facility		$271.57	$307.67	$343.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $185.10 / $255.43	Professional		$167.70	$185.10	$255.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.82 / $378.14 / $511.13	Facility		$257.82	$378.14	$511.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.20 / $378.14 / $464.08	Professional		$292.20	$378.14	$464.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $343.76	Facility		$189.91	$189.91	$343.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $348.14	Professional		$138.63	$189.91	$348.14
United Facility/Professional Professional Modifier Low / Median / High Price $101.08 / $169.96 / $232.51	Professional		$101.08	$169.96	$232.51