Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Facility		$173.00	$173.00	$173.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $173.00 / $173.00	Professional		$173.00	$173.00	$173.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.52 / $203.52 / $392.79	Facility		$203.52	$203.52	$392.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $203.52 / $270.20	Professional		$135.10	$203.52	$270.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.60 / $222.29 / $222.29	Facility		$155.60	$222.29	$222.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.02 / $263.02 / $263.02	Facility		$263.02	$263.02	$263.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.01 / $263.02 / $268.64	Professional		$192.01	$263.02	$268.64