Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.96 / $2,821.52 / $7,469.31	Facility		$61.96	$2,821.52	$7,469.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $46.06 / $61.96	Professional		$34.27	$46.06	$61.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $46.26	Facility		$0.02	$0.03	$46.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $41.80 / $59.35	Professional		$41.80	$41.80	$59.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.03 / $124.84 / $121,498.80	Facility		$96.03	$124.84	$121,498.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.03 / $115.24 / $144.05	Professional		$96.03	$115.24	$144.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Facility		$88.54	$88.54	$88.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $45.88	Professional		$42.84	$42.84	$45.88