Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $337.50	Facility		$75.00	$75.00	$337.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $153.44	Facility		$79.50	$79.50	$153.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $79.50 / $107.32	Professional		$67.56	$79.50	$107.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.17 / $72.17 / $72.17	Facility		$72.17	$72.17	$72.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.17 / $72.17 / $72.17	Professional		$72.17	$72.17	$72.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $218.63	Professional		$79.50	$79.50	$218.63
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $113.41	Professional		$90.69	$90.69	$113.41