Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.28 / $58.28 / $58.28	Facility		$58.28	$58.28	$58.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.28 / $58.28 / $109.40	Professional		$58.28	$58.28	$109.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $57.90	Facility		$30.00	$30.00	$57.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $40.64	Professional		$30.00	$30.00	$40.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.20 / $289.55 / $362.97	Facility		$279.20	$289.55	$362.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.16 / $335.05 / $418.81	Professional		$217.16	$335.05	$418.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.06 / $117.06 / $117.06	Facility		$117.06	$117.06	$117.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $39.60 / $150.91	Professional		$33.65	$39.60	$150.91