Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $700.00 / $700.00	Professional		$87.65	$700.00	$700.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.08 / $73.08 / $141.04	Facility		$73.08	$73.08	$141.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $73.08 / $98.45	Professional		$39.00	$73.08	$98.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $133.00 / $166.73	Facility		$128.25	$133.00	$166.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $153.90 / $192.38	Professional		$99.75	$153.90	$192.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $96.47 / $96.47	Professional		$96.47	$96.47	$96.47