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 / $170.00	Professional		$84.83	$98.13	$170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $264.41	Facility		$137.00	$137.00	$264.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $194.54	Professional		$137.00	$137.00	$194.54
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 $117.26 / $117.26 / $117.26	Professional		$117.26	$117.26	$117.26