Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.30 / $112.30 / $112.30	Facility		$112.30	$112.30	$112.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.30 / $130.02 / $153.41	Professional		$112.30	$130.02	$153.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $157.00 / $303.01	Facility		$157.00	$157.00	$303.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $157.00 / $222.94	Professional		$157.00	$157.00	$222.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,611.46 / $16,734.58 / $23,534.51	Facility		$15,611.46	$16,734.58	$23,534.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $100.46 / $100.46	Professional		$100.46	$100.46	$100.46