Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $193.76 / $391.49	Facility		$193.76	$193.76	$391.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.31 / $193.76 / $210.27	Professional		$186.31	$193.76	$210.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.27 / $350.38 / $391.49	Facility		$309.27	$350.38	$391.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.98 / $209.66 / $289.33	Professional		$190.98	$209.66	$289.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.62 / $430.64 / $548.09	Facility		$293.62	$430.64	$548.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $332.77 / $430.64 / $528.51	Professional		$332.77	$430.64	$528.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.07 / $227.07 / $391.49	Facility		$227.07	$227.07	$391.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $227.07 / $401.59	Professional		$165.76	$227.07	$401.59
United Facility/Professional Professional Modifier Low / Median / High Price $119.08 / $189.22 / $269.13	Professional		$119.08	$189.22	$269.13