Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $138.00 / $270.00	Facility		$60.00	$138.00	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $125.00 / $173.13	Facility		$67.64	$125.00	$173.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $67.64 / $119.07	Professional		$62.50	$67.64	$119.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,431.53 / $1,431.53 / $1,717.84	Facility		$1,431.53	$1,431.53	$1,717.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,395.74 / $1,431.53 / $1,789.41	Professional		$1,395.74	$1,431.53	$1,789.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Facility		$63.75	$63.75	$63.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $161.29	Professional		$63.75	$63.75	$161.29
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $83.49	Professional		$62.50	$62.50	$83.49