Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $384.00 / $691.20	Facility		$153.60	$384.00	$691.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $153.60	Professional		$153.60	$153.60	$153.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $320.00 / $480.00	Facility		$184.00	$320.00	$480.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $192.00 / $259.20	Professional		$153.60	$192.00	$259.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.80 / $226.80 / $277.20	Facility		$226.80	$226.80	$277.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $226.80 / $283.50	Professional		$226.80	$226.80	$283.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $448.80	Professional		$163.19	$163.19	$448.80
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $198.40	Professional		$160.00	$160.00	$198.40