Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $22.99 / $22.99	Facility		$22.99	$22.99	$22.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $25.76 / $25.76	Professional		$5.00	$25.76	$25.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $120.54 / $133.93	Facility		$0.02	$120.54	$133.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.05 / $1.05	Professional		$0.89	$1.05	$1.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.76 / $62.87 / $79.09	Facility		$54.76	$62.87	$79.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $65.70 / $82.13	Professional		$42.59	$65.70	$82.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $22.99 / $32.97	Facility		$17.47	$22.99	$32.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $199.00 / $248.49	Professional		$4.26	$199.00	$248.49