Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $44.09 / $181.27	Facility		$18.14	$44.09	$181.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.35 / $18.35	Professional		$18.17	$18.35	$18.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $36.34 / $54.51	Facility		$19.07	$36.34	$54.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $18.17 / $25.80	Professional		$15.44	$18.17	$25.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $18.17 / $27.07	Facility		$18.17	$18.17	$27.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $20.90	Professional		$18.17	$18.17	$20.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.17 / $18.17 / $18.17	Facility		$18.17	$18.17	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $50.52	Professional		$18.17	$18.17	$50.52
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $31.84	Professional		$18.17	$18.17	$31.84