Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $90.81 / $90.81	Facility		$90.81	$90.81	$90.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $88.09 / $90.81	Professional		$50.21	$88.09	$90.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.07 / $129.22 / $144.38	Facility		$114.07	$129.22	$144.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.08 / $116.41 / $153.66	Professional		$94.08	$116.41	$153.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $108.29 / $187.71	Facility		$13.72	$108.29	$187.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $100.80 / $173.27	Professional		$12.27	$100.80	$173.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.16 / $88.16 / $88.16	Facility		$88.16	$88.16	$88.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $88.16 / $156.04	Professional		$74.94	$88.16	$156.04
United Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $72.67 / $117.08	Professional		$43.90	$72.67	$117.08