Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.10 / $1,386.00 / $4,846.00	Facility		$176.10	$1,386.00	$4,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.10 / $203.81 / $240.54	Professional		$176.10	$203.81	$240.54
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 $15,611.46 / $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 $545.90 / $545.90 / $545.90	Professional		$545.90	$545.90	$545.90