Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $193.60 / $193.60	Facility		$193.60	$193.60	$193.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $224.25 / $264.52	Professional		$193.60	$224.25	$264.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.00 / $672.00 / $1,296.96	Facility		$672.00	$672.00	$1,296.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.00 / $672.00 / $954.24	Professional		$672.00	$672.00	$954.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,982.08 / $17,126.79 / $23,926.72	Facility		$15,982.08	$17,126.79	$23,926.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.97 / $292.97 / $292.97	Professional		$292.97	$292.97	$292.97