Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $480.00 / $540.00	Facility		$45.00	$480.00	$540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $354.00	Professional		$35.00	$45.00	$354.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,737.00	Facility		$900.00	$900.00	$1,737.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $900.00 / $1,212.48	Professional		$765.00	$900.00	$1,212.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.22 / $156.90 / $231.54	Facility		$64.22	$156.90	$231.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $173.40 / $420.00	Professional		$61.75	$173.40	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $315.00 / $880.00	Professional		$200.00	$315.00	$880.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $52.00 / $70.00	Professional		$40.00	$52.00	$70.00