Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $31.33	Facility		$5.00	$5.00	$31.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $55.00 / $100.80	Professional		$5.00	$55.00	$100.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $12.51 / $24.14	Facility		$12.51	$12.51	$24.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $12.51 / $16.85	Professional		$9.68	$12.51	$16.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.07 / $17.64 / $30,374.70	Facility		$8.07	$17.64	$30,374.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $10.09	Professional		$8.07	$8.07	$10.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.97 / $16.51	Professional		$11.59	$11.97	$16.51
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $12.87 / $19.01	Professional		$11.59	$12.87	$19.01