Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Facility		$45.60	$45.60	$45.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $45.60 / $45.60	Professional		$45.60	$45.60	$45.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.74 / $1,142.74 / $2,205.48	Facility		$1,142.74	$1,142.74	$2,205.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.74 / $1,142.74 / $1,539.49	Professional		$1,142.74	$1,142.74	$1,539.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,364.17 / $1,416.64 / $1,941.32	Facility		$1,364.17	$1,416.64	$1,941.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,101.83 / $1,629.13 / $1,983.29	Professional		$1,101.83	$1,629.13	$1,983.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,508.42 / $1,508.42 / $1,508.42	Professional		$1,508.42	$1,508.42	$1,508.42