Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.09 / $195.09	Facility		$45.71	$64.09	$195.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $45.71 / $52.95	Professional		$41.25	$45.71	$52.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $50.17 / $167.22	Facility		$44.03	$50.17	$167.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $34.64	Professional		$17.13	$17.13	$34.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $66.89 / $78.04	Facility		$55.74	$66.89	$78.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.74 / $61.31 / $79.01	Professional		$55.74	$61.31	$79.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $55.74 / $129.96	Facility		$36.22	$55.74	$129.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $61.25 / $103.79	Professional		$26.54	$61.25	$103.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $33.44 / $61.26	Professional		$23.41	$33.44	$61.26