Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.75 / $114.75 / $241.11	Facility		$114.75	$114.75	$241.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.04 / $114.75 / $119.33	Professional		$101.04	$114.75	$119.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.48 / $215.79 / $241.11	Facility		$190.48	$215.79	$241.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $123.82 / $170.87	Professional		$117.62	$123.82	$170.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.53 / $255.19 / $337.55	Facility		$173.53	$255.19	$337.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.94 / $265.22 / $325.50	Professional		$204.94	$265.22	$325.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.15 / $170.15 / $241.11	Facility		$170.15	$170.15	$241.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.21 / $170.15 / $247.32	Professional		$124.21	$170.15	$247.32
United Facility/Professional Professional Modifier Low / Median / High Price $67.90 / $120.29 / $161.53	Professional		$67.90	$120.29	$161.53