Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $197.07 / $280.41	Facility		$53.87	$197.07	$280.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $53.87 / $59.64	Professional		$48.61	$53.87	$59.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.90 / $58.79 / $197.07	Facility		$51.90	$58.79	$197.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $26.28 / $43.37	Professional		$26.28	$26.28	$43.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $78.83 / $91.97	Facility		$65.69	$78.83	$91.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $72.26 / $93.12	Professional		$65.69	$72.26	$93.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $65.69 / $152.60	Facility		$42.70	$65.69	$152.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $59.89 / $95.99	Professional		$34.69	$59.89	$95.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $39.40 / $72.19	Professional		$27.59	$39.40	$72.19