Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.15 / $148.15 / $148.15	Facility		$148.15	$148.15	$148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $173.20 / $202.35	Professional		$148.15	$173.20	$202.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $509.00 / $982.37	Facility		$509.00	$509.00	$982.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.20 / $509.00 / $702.42	Professional		$407.20	$509.00	$702.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,649.61 / $16,774.95 / $23,574.89	Facility		$15,649.61	$16,774.95	$23,574.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $195.18 / $195.18	Professional		$195.18	$195.18	$195.18