Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $100.00	Facility		$26.92	$42.66	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $25.70	Professional		$18.20	$21.88	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $81.28	Facility		$26.92	$26.92	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $45.71 / $69.18	Professional		$19.95	$45.71	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $398.11 / $43,651.58	Facility		$18.62	$398.11	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $26.92	Facility		$17.78	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $60.26	Professional		$31.62	$38.90	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $26.92 / $26.92	Facility		$12.30	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $26.92	Professional		$11.48	$16.22	$26.92