Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $264.00 / $1,080.00	Facility		$240.00	$264.00	$1,080.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $255.00	Professional		$240.00	$240.00	$255.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.30 / $434.60 / $614.85	Facility		$217.30	$434.60	$614.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.30 / $217.30 / $293.35	Professional		$217.30	$217.30	$293.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $57.26 / $74.44	Facility		$57.26	$57.26	$74.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.26 / $57.26 / $62.99	Professional		$57.26	$57.26	$62.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $255.00	Facility		$255.00	$255.00	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $255.00 / $279.38	Professional		$74.53	$255.00	$279.38
United Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $250.00 / $265.00	Professional		$177.68	$250.00	$265.00