Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $205.72 / $412.23	Facility		$55.24	$205.72	$412.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.24 / $60.62 / $67.36	Professional		$55.24	$60.62	$67.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.21 / $61.49 / $202.08	Facility		$53.21	$61.49	$202.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $33.26 / $49.44	Professional		$31.86	$33.26	$49.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $74.09 / $94.30	Facility		$67.36	$74.09	$94.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $70.73 / $90.94	Professional		$43.78	$70.73	$90.94
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 / $150.58	Professional		$44.35	$77.23	$150.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $40.42 / $74.03	Professional		$28.29	$40.42	$74.03