Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Facility		$138.91	$138.91	$138.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Professional		$138.91	$138.91	$138.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $40.21 / $77.61	Facility		$40.21	$40.21	$77.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $40.21 / $55.48	Professional		$40.21	$40.21	$55.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $83.49	Facility		$64.41	$64.41	$83.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $77.29 / $96.61	Professional		$64.41	$77.29	$96.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08