Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $585.00 / $1,383.75	Facility		$375.00	$585.00	$1,383.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $300.00 / $318.75	Professional		$255.00	$300.00	$318.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $375.00 / $1,125.00	Facility		$150.00	$375.00	$1,125.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $150.00 / $202.50	Professional		$31.29	$150.00	$202.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $487.50 / $600.00	Facility		$375.00	$487.50	$600.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $450.00 / $562.50	Professional		$375.00	$450.00	$562.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.75 / $375.00 / $835.65	Facility		$243.75	$375.00	$835.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $414.59 / $496.73	Professional		$198.00	$414.59	$496.73
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $225.00 / $412.13	Professional		$157.50	$225.00	$412.13