Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $175.28 / $175.28	Facility		$175.28	$175.28	$175.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.77 / $175.28 / $347.19	Professional		$163.77	$175.28	$347.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $57.90	Facility		$30.00	$30.00	$57.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $40.64	Professional		$30.00	$30.00	$40.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.15 / $211.71 / $265.39	Facility		$204.15	$211.71	$265.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.78 / $244.98 / $306.22	Professional		$158.78	$244.98	$306.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.60 / $39.60 / $148.66	Professional		$39.60	$39.60	$148.66