Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.00 / $345.00 / $1,050.00	Facility		$246.00	$345.00	$1,050.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $246.00 / $285.00	Professional		$222.00	$246.00	$285.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $268.50 / $900.00	Facility		$237.00	$268.50	$900.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $1,000.22	Professional		$120.00	$120.00	$1,000.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $390.00 / $420.00	Facility		$300.00	$390.00	$420.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $360.00 / $450.00	Professional		$300.00	$360.00	$450.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $300.00 / $697.59	Facility		$195.00	$300.00	$697.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.21 / $265.67 / $435.00	Professional		$137.21	$265.67	$435.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $138.60 / $329.70	Professional		$52.56	$138.60	$329.70