Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $128.96	Facility		$75.86	$75.86	$128.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $89.46 / $151.72	Facility		$85.88	$89.46	$151.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.48 / $75.86 / $75.86	Professional		$64.48	$75.86	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $82.61 / $121.38	Facility		$75.86	$82.61	$121.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.45 / $116.82	Professional		$75.86	$83.45	$116.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $87.14	Facility		$75.86	$75.86	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $75.86 / $127.86	Professional		$51.32	$75.86	$127.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86