Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $17.64 / $65.12	Facility		$14.47	$17.64	$65.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $15.76 / $16.67	Professional		$13.94	$15.76	$16.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.94 / $15.89 / $52.95	Facility		$13.94	$15.89	$52.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $7.85 / $12.17	Professional		$5.95	$7.85	$12.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $21.32 / $23.83	Facility		$17.64	$21.32	$23.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $20.30 / $25.02	Professional		$17.64	$20.30	$25.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $17.64 / $45.27	Facility		$12.91	$17.64	$45.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $20.65 / $46.85	Professional		$11.62	$20.65	$46.85
United Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Facility		$17.64	$17.64	$17.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.59 / $17.64	Professional		$7.41	$10.59	$17.64