Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $42.53 / $42.53	Facility		$42.53	$42.53	$42.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $49.19 / $58.07	Professional		$42.53	$49.19	$58.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $84.00 / $162.12	Facility		$84.00	$84.00	$162.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $119.28	Professional		$84.00	$84.00	$119.28
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 $47.14 / $47.14 / $47.14	Professional		$47.14	$47.14	$47.14