Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.39 / $368.00 / $1,120.00	Facility		$262.39	$368.00	$1,120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.80 / $262.39 / $304.00	Professional		$252.80	$262.39	$304.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.80 / $286.39 / $960.00	Facility		$252.80	$286.39	$960.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $128.00 / $400.00	Professional		$50.00	$128.00	$400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $416.00 / $448.00	Facility		$320.00	$416.00	$448.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $384.00 / $480.00	Professional		$320.00	$384.00	$480.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $320.00 / $744.55	Facility		$208.00	$320.00	$744.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.96 / $287.97 / $464.00	Professional		$168.96	$287.97	$464.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $192.00 / $351.68	Professional		$134.40	$192.00	$351.68