Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.97 / $191.97 / $403.36	Facility		$191.97	$191.97	$403.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.82 / $191.97 / $199.64	Professional		$177.82	$191.97	$199.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.64 / $361.01 / $403.36	Facility		$318.64	$361.01	$403.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.77 / $214.69 / $296.27	Professional		$196.77	$214.69	$296.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.52 / $443.70 / $564.70	Facility		$302.52	$443.70	$564.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $342.86 / $443.70 / $544.54	Professional		$342.86	$443.70	$544.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $403.36	Facility		$271.68	$271.68	$403.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $392.70	Professional		$198.33	$271.68	$392.70
United Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $201.23 / $269.51	Professional		$112.27	$201.23	$269.51