Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $168.91 / $177.76	Facility		$70.38	$168.91	$177.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $70.38 / $112.80	Professional		$70.37	$70.38	$112.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $140.76 / $186.51	Facility		$70.38	$140.76	$186.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $70.38 / $99.93	Professional		$59.66	$70.38	$99.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.38 / $70.38 / $104.87	Facility		$70.38	$70.38	$104.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $70.38 / $80.94	Professional		$70.38	$70.38	$80.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $80.88 / $80.88	Facility		$80.88	$80.88	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $80.88 / $211.94	Professional		$69.28	$80.88	$211.94
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $76.20 / $86.68	Professional		$72.23	$76.20	$86.68