Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $163.24	Facility		$0.02	$0.02	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Professional		$163.24	$163.24	$163.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $176.00	Facility		$0.02	$0.02	$176.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.60 / $176.00 / $249.92	Professional		$149.60	$176.00	$249.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.88 / $106.62 / $275.69	Facility		$101.88	$106.62	$275.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.62 / $106.62 / $106.62	Professional		$106.62	$106.62	$106.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $493.32	Professional		$179.39	$179.39	$493.32
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $186.43 / $197.98	Professional		$164.98	$186.43	$197.98