Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $123.00 / $667.20	Facility		$118.50	$123.00	$667.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $120.00 / $150.00	Professional		$105.00	$120.00	$150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.53 / $135.00 / $157.65	Facility		$46.53	$135.00	$157.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $77.55 / $77.55	Professional		$60.00	$77.55	$77.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $210.00 / $247.50	Facility		$180.00	$210.00	$247.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.50 / $202.50 / $300.00	Professional		$172.50	$202.50	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.50 / $116.72 / $291.99	Facility		$97.50	$116.72	$291.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $158.56 / $723.00	Professional		$68.48	$158.56	$723.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $150.00	Professional		$63.00	$90.00	$150.00