Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.60 / $322.00 / $980.00	Facility		$229.60	$322.00	$980.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.20 / $229.60 / $266.00	Professional		$207.20	$229.60	$266.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.20 / $250.60 / $840.00	Facility		$221.20	$250.60	$840.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $475.00	Professional		$112.00	$112.00	$475.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $364.00 / $392.00	Facility		$280.00	$364.00	$392.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $336.00 / $420.00	Professional		$280.00	$336.00	$420.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.00 / $280.00 / $651.47	Facility		$182.00	$280.00	$651.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $251.86 / $406.00	Professional		$147.84	$251.86	$406.00
United Facility/Professional Facility Modifier Low / Median / High Price $280.00 / $280.00 / $280.00	Facility		$280.00	$280.00	$280.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $168.00 / $307.72	Professional		$117.60	$168.00	$307.72