Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.43 / $412.43 / $412.43	Facility		$412.43	$412.43	$412.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.86 / $412.43 / $412.43	Professional		$280.86	$412.43	$412.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.25 / $159.25 / $307.35	Facility		$159.25	$159.25	$307.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $159.25 / $214.54	Professional		$30.00	$159.25	$214.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.45 / $294.98 / $369.78	Facility		$284.45	$294.98	$369.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.24 / $341.33 / $426.67	Professional		$221.24	$341.33	$426.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $210.21 / $210.21	Professional		$73.18	$210.21	$210.21