Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $83.21 / $83.21	Facility		$83.21	$83.21	$83.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.88 / $83.21 / $93.59	Professional		$72.88	$83.21	$93.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.41 / $119.42 / $133.43	Facility		$105.41	$119.42	$133.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.84 / $115.56 / $146.76	Professional		$86.84	$115.56	$146.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $105.05 / $173.46	Facility		$13.41	$105.05	$173.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $105.05 / $160.10	Professional		$11.40	$105.05	$160.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.76 / $57.76 / $57.76	Facility		$57.76	$57.76	$57.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $57.76 / $146.77	Professional		$49.10	$57.76	$146.77
United Facility/Professional Professional Modifier Low / Median / High Price $44.38 / $66.56 / $100.27	Professional		$44.38	$66.56	$100.27