Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.14 / $164.14 / $344.90	Facility		$164.14	$164.14	$344.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $164.14 / $170.71	Professional		$126.85	$164.14	$170.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.47 / $308.69 / $344.90	Facility		$272.47	$308.69	$344.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $156.09 / $215.40	Professional		$155.36	$156.09	$215.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $224.19 / $362.15 / $482.86	Facility		$224.19	$362.15	$482.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.17 / $379.39 / $465.62	Professional		$293.17	$379.39	$465.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $344.90	Facility		$161.63	$161.63	$344.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $302.01	Professional		$117.99	$161.63	$302.01
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $193.57 / $194.44	Facility		$0.21	$193.57	$194.44
United Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $172.06 / $230.45	Professional		$86.03	$172.06	$230.45