Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $77.90	Facility		$77.90	$77.90	$77.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $90.10 / $106.38	Professional		$77.90	$90.10	$106.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $260.55	Facility		$135.00	$135.00	$260.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $191.70	Professional		$135.00	$135.00	$191.70
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 $109.07 / $109.07 / $109.07	Professional		$109.07	$109.07	$109.07