Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.35 / $299.99 / $367.00	Facility		$108.35	$299.99	$367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $115.22 / $160.30	Professional		$102.52	$115.22	$160.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $300.00 / $540.00	Facility		$250.00	$300.00	$540.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.83 / $300.00 / $404.16	Professional		$200.83	$300.00	$404.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,365.36 / $16,474.16 / $23,274.09	Facility		$15,365.36	$16,474.16	$23,274.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $88.53 / $322.98	Professional		$88.53	$88.53	$322.98
United Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $185.99 / $302.08	Professional		$147.00	$185.99	$302.08