Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $26.73 / $43.03	Facility		$26.73	$26.73	$43.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $26.73 / $28.03	Professional		$24.80	$26.73	$28.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $16.80 / $25.20	Professional		$14.28	$16.80	$25.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.05 / $28.13 / $31.83	Facility		$27.05	$28.13	$31.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $60.46 / $116.54	Professional		$29.99	$60.46	$116.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $34.39 / $60.29	Professional		$27.85	$34.39	$60.29