Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $90.00 / $90.00	Facility		$36.00	$90.00	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Professional		$36.00	$36.00	$36.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $75.00 / $123.75	Facility		$43.13	$75.00	$123.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $2,160.00 / $2,916.00	Professional		$41.25	$2,160.00	$2,916.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $65.25 / $72.00	Facility		$47.70	$65.25	$72.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $45.00	Professional		$38.25	$38.25	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $46.50	Professional		$37.50	$37.50	$46.50