Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $77.45 / $248.58	Facility		$55.24	$77.45	$248.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $55.24 / $63.99	Professional		$53.89	$55.24	$63.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.21 / $64.19 / $202.08	Facility		$53.21	$64.19	$202.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $33.26 / $56.46	Professional		$33.26	$33.26	$56.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $80.83 / $90.94	Facility		$67.36	$80.83	$90.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $77.45 / $95.48	Professional		$67.36	$77.45	$95.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.29 / $67.36 / $174.40	Facility		$49.29	$67.36	$174.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $77.23 / $98.82	Professional		$44.35	$77.23	$98.82
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.52 / $74.03	Professional		$28.29	$40.52	$74.03