Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $230.00 / $700.00	Facility		$164.00	$230.00	$700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.00 / $164.00 / $190.00	Professional		$158.00	$164.00	$190.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.00 / $179.00 / $600.00	Facility		$158.00	$179.00	$600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $318.66	Professional		$80.00	$80.00	$318.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $260.00 / $280.00	Facility		$200.00	$260.00	$280.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $240.00 / $300.00	Professional		$200.00	$240.00	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $200.00 / $465.35	Facility		$130.00	$200.00	$465.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $179.94 / $290.00	Professional		$105.60	$179.94	$290.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $120.00 / $219.80	Professional		$84.00	$120.00	$219.80