Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $212.83 / $276.00	Professional		$151.59	$212.83	$276.00
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 $0.02 / $54.76 / $66.92	Facility		$0.02	$54.76	$66.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $57.49 / $73.92	Professional		$54.76	$57.49	$73.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $28.40 / $56.03	Facility		$12.46	$28.40	$56.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.21 / $23.21	Professional		$23.21	$23.21	$23.21