Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.11 / $197.11 / $414.17	Facility		$197.11	$197.11	$414.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $202.23 / $206.13	Professional		$197.11	$202.23	$206.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.19 / $370.68 / $414.17	Facility		$327.19	$370.68	$414.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $248.87 / $335.97	Professional		$207.51	$248.87	$335.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.36 / $455.59 / $621.26	Facility		$312.36	$455.59	$621.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.04 / $455.59 / $559.13	Professional		$352.04	$455.59	$559.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.94 / $267.94 / $414.17	Facility		$267.94	$267.94	$414.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.60 / $267.94 / $424.86	Professional		$195.60	$267.94	$424.86
United Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $206.62 / $284.45	Professional		$123.07	$206.62	$284.45