Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.84 / $80.84 / $80.84	Facility		$80.84	$80.84	$80.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $80.84	Professional		$80.04	$80.04	$80.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $154.47	Facility		$80.04	$80.04	$154.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $113.65	Professional		$80.04	$80.04	$113.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $120.06	Facility		$80.04	$80.04	$120.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $96.05	Professional		$80.04	$80.04	$96.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $500.65	Professional		$80.04	$80.04	$500.65
United Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $106.92	Professional		$80.04	$80.04	$106.92