Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $17.54 / $17.54	Facility		$17.54	$17.54	$17.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $22.61 / $29.07	Professional		$15.42	$22.61	$29.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $23.24 / $44.85	Facility		$23.24	$23.24	$44.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $23.24 / $36.95	Professional		$19.75	$23.24	$36.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $28.12 / $121,498.80	Facility		$21.63	$28.12	$121,498.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $24.58 / $32.45	Professional		$20.22	$24.58	$32.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $29.08 / $29.08	Facility		$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $30.68 / $112.26	Professional		$26.08	$30.68	$112.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,062.00 / $5,242.00 / $10,396.00	Facility		$2,062.00	$5,242.00	$10,396.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $25.47 / $43.99	Professional		$19.68	$25.47	$43.99