Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Facility		$144.00	$144.00	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $145.80	Professional		$144.00	$144.00	$145.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.13 / $103.13 / $199.04	Facility		$103.13	$103.13	$199.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $103.13 / $146.44	Professional		$103.13	$103.13	$146.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $99.83	Facility		$64.41	$64.41	$99.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $77.29	Professional		$64.41	$64.41	$77.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $180.00	Professional		$153.00	$153.00	$180.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $223.20	Professional		$180.00	$180.00	$223.20