Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $245.28 / $266.77	Facility		$110.21	$245.28	$266.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $35.33 / $119.70	Professional		$18.32	$35.33	$119.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.05 / $1.05	Professional		$0.78	$1.05	$1.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.75 / $87.75 / $181.50	Facility		$87.75	$87.75	$181.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $92.14 / $118.46	Professional		$87.75	$92.14	$118.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $28.40 / $56.03	Facility		$12.46	$28.40	$56.03