Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $201.49 / $1,134.46	Facility		$200.00	$201.49	$1,134.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $204.04 / $234.65	Professional		$178.54	$204.04	$234.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.77 / $229.55 / $268.06	Facility		$158.77	$229.55	$268.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.02 / $200.00 / $200.00	Professional		$102.02	$200.00	$200.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $306.06 / $357.07 / $420.83	Facility		$306.06	$357.07	$420.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $293.31 / $357.07 / $510.10	Professional		$293.31	$357.07	$510.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.78 / $198.45 / $625.42	Facility		$165.78	$198.45	$625.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.44 / $295.75 / $1,229.33	Professional		$116.44	$295.75	$1,229.33
United Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $153.03 / $280.56	Professional		$105.83	$153.03	$280.56