Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.80 / $506.00 / $1,540.00	Facility		$360.80	$506.00	$1,540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.60 / $360.80 / $418.00	Professional		$325.60	$360.80	$418.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.60 / $393.80 / $1,320.00	Facility		$347.60	$393.80	$1,320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $363.00	Professional		$176.00	$176.00	$363.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $572.00 / $616.00	Facility		$440.00	$572.00	$616.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $528.00 / $660.00	Professional		$440.00	$528.00	$660.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.00 / $440.00 / $1,023.75	Facility		$286.00	$440.00	$1,023.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.14 / $389.80 / $638.00	Professional		$202.14	$389.80	$638.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $184.80 / $483.56	Professional		$106.02	$184.80	$483.56