Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $28.75 / $92.25	Facility		$20.50	$28.75	$92.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $20.50 / $21.25	Professional		$18.50	$20.50	$21.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $75.00 / $135.72	Facility		$28.92	$75.00	$135.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $28.92 / $39.90	Professional		$24.58	$28.92	$39.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $32.50 / $40.00	Facility		$25.00	$32.50	$40.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.00 / $37.50	Professional		$25.00	$30.00	$37.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $25.00 / $55.47	Facility		$16.25	$25.00	$55.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $36.19 / $38.17	Professional		$30.21	$36.19	$38.17
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.00 / $27.48	Professional		$10.50	$15.00	$27.48