Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.12 / $174.10 / $174.10	Facility		$145.12	$174.10	$174.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $174.10 / $249.99	Professional		$89.88	$174.10	$249.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $650.00 / $1,254.50	Facility		$650.00	$650.00	$1,254.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.50 / $650.00 / $880.37	Professional		$552.50	$650.00	$880.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.40 / $453.60 / $568.62	Facility		$437.40	$453.60	$568.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.20 / $524.88 / $656.10	Professional		$340.20	$524.88	$656.10
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 $161.72 / $161.72 / $161.72	Professional		$161.72	$161.72	$161.72