Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $116.00 / $5,055.82	Facility		$116.00	$116.00	$5,055.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $120.35	Professional		$116.00	$116.00	$120.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Professional		$45.00	$45.00	$60.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $151.88 / $151.88	Facility		$151.88	$151.88	$151.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $124.76 / $151.88	Professional		$112.50	$124.76	$151.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.25 / $123.25 / $123.25	Facility		$123.25	$123.25	$123.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $123.25 / $123.25	Professional		$80.54	$123.25	$123.25