Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.02 / $1,386.00 / $4,846.00	Facility		$153.02	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $183.25 / $280.00	Professional		$153.02	$183.25	$280.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $254.00 / $490.22	Facility		$254.00	$254.00	$490.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $360.68	Professional		$254.00	$254.00	$360.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $195.75 / $247.68 / $303.41	Facility		$195.75	$247.68	$303.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $225.11 / $280.87	Professional		$195.75	$225.11	$280.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.08 / $217.08 / $217.08	Professional		$217.08	$217.08	$217.08