Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.83 / $84.83 / $84.83	Facility		$84.83	$84.83	$84.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $98.13 / $160.00	Professional		$84.83	$98.13	$160.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $250.90	Facility		$130.00	$130.00	$250.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $184.60	Professional		$130.00	$130.00	$184.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.08 / $141.80 / $174.53	Facility		$109.08	$141.80	$174.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $125.44 / $156.56	Professional		$109.08	$125.44	$156.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.69 / $110.69 / $110.69	Professional		$110.69	$110.69	$110.69