Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.72 / $85.72 / $85.72	Facility		$85.72	$85.72	$85.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $67.04 / $92.28	Professional		$57.57	$67.04	$92.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.18 / $112.37 / $125.55	Facility		$99.18	$112.37	$125.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $133.43 / $169.32	Professional		$103.50	$133.43	$169.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $103.59 / $192.98	Facility		$12.56	$103.59	$192.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $98.88 / $183.53	Professional		$11.78	$98.88	$183.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.17 / $81.17 / $81.17	Facility		$81.17	$81.17	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $81.17 / $171.45	Professional		$68.98	$81.17	$171.45
United Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $68.64 / $127.93	Professional		$41.00	$68.64	$127.93