Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $132.00 / $233.64	Facility		$51.92	$132.00	$233.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $79.70 / $79.70	Professional		$78.92	$79.70	$79.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $157.84 / $209.14	Facility		$78.92	$157.84	$209.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $78.92 / $112.06	Professional		$67.08	$78.92	$112.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $118.38	Facility		$78.92	$78.92	$118.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $98.65	Professional		$78.92	$78.92	$98.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Facility		$78.92	$78.92	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $151.25	Professional		$78.92	$78.92	$151.25
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $87.85 / $105.42	Professional		$78.92	$87.85	$105.42