Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $240.00 / $270.00	Facility		$30.00	$240.00	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.00 / $191.79	Professional		$30.00	$48.00	$191.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $84.00 / $162.12	Facility		$84.00	$84.00	$162.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $84.00 / $113.40	Professional		$68.00	$84.00	$113.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $65.70 / $85.17	Facility		$65.70	$65.70	$85.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $75.56 / $91.99	Professional		$51.10	$75.56	$91.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $120.00 / $180.00	Professional		$80.00	$120.00	$180.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $31.31 / $77.44	Professional		$31.31	$31.31	$77.44