Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.03 / $85.03 / $85.03	Facility		$85.03	$85.03	$85.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $85.03 / $197.44	Professional		$85.03	$85.03	$197.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $965.00	Facility		$500.00	$500.00	$965.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $500.00 / $675.00	Professional		$400.00	$500.00	$675.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.14 / $214.82 / $269.29	Facility		$207.14	$214.82	$269.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.11 / $248.57 / $310.72	Professional		$161.11	$248.57	$310.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $660.00 / $660.00	Professional		$67.23	$660.00	$660.00