Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $172.50 / $553.50	Facility		$123.00	$172.50	$553.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $123.00 / $127.50	Professional		$111.00	$123.00	$127.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $150.00 / $450.00	Facility		$60.00	$150.00	$450.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $60.00 / $81.00	Professional		$31.29	$60.00	$81.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $195.00 / $240.00	Facility		$150.00	$195.00	$240.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $180.00 / $225.00	Professional		$150.00	$180.00	$225.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $150.00 / $334.26	Facility		$97.50	$150.00	$334.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $166.16 / $199.07	Professional		$79.20	$166.16	$199.07
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $164.85	Professional		$63.00	$90.00	$164.85