Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $68.64 / $139.03	Facility		$42.13	$68.64	$139.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $84.26	Professional		$42.13	$42.13	$84.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $126.39 / $228.72	Facility		$16.85	$126.39	$228.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $16.85 / $25.69	Professional		$16.85	$16.85	$25.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $54.77 / $67.41	Facility		$42.13	$54.77	$67.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $44.24 / $56.88	Professional		$27.38	$44.24	$56.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $79.48 / $164.73	Facility		$27.38	$79.48	$164.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $48.40 / $60.50	Professional		$21.30	$48.40	$60.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $25.28 / $42.13	Professional		$17.69	$25.28	$42.13