Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $53.25 / $12,090.94	Facility		$19.14	$53.25	$12,090.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.23 / $22.24	Professional		$22.02	$22.23	$22.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $44.04 / $58.35	Facility		$22.02	$44.04	$58.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $22.02 / $31.26	Professional		$18.71	$22.02	$31.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $33.03	Facility		$22.02	$22.02	$33.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $27.53	Professional		$22.02	$22.02	$27.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Facility		$22.02	$22.02	$22.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $57.89	Professional		$22.02	$22.02	$57.89
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $29.41	Professional		$22.02	$22.02	$29.41