Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $78.80 / $133.96	Facility		$78.80	$78.80	$133.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $87.53	Professional		$78.80	$78.80	$87.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $92.91 / $157.60	Facility		$89.20	$92.91	$157.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $78.80 / $78.80	Professional		$66.98	$78.80	$78.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $85.76 / $126.08	Facility		$78.80	$85.76	$126.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $86.68 / $121.35	Professional		$78.80	$86.68	$121.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.79 / $78.79 / $116.08	Facility		$78.79	$78.79	$116.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $78.79 / $150.76	Professional		$63.19	$78.79	$150.76
United Facility/Professional Facility Modifier Low / Median / High Price $78.75 / $78.75 / $78.75	Facility		$78.75	$78.75	$78.75
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $88.26	Professional		$78.80	$78.80	$88.26