Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $19.30	Facility		$10.00	$10.00	$19.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $13.47	Professional		$10.00	$10.00	$13.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $67.53 / $87.54	Facility		$50.65	$67.53	$87.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $77.66 / $94.54	Professional		$52.52	$77.66	$94.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $19.32 / $19.32	Professional		$13.20	$19.32	$19.32