Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $78.92 / $134.16	Facility		$51.41	$78.92	$134.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $99.43	Professional		$78.92	$78.92	$99.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.34 / $93.06 / $157.84	Facility		$89.34	$93.06	$157.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $78.92 / $78.92	Professional		$67.08	$78.92	$78.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.92 / $85.76 / $126.27	Facility		$78.92	$85.76	$126.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $86.81 / $121.54	Professional		$78.92	$86.81	$121.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $78.92 / $103.70	Facility		$55.91	$78.92	$103.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $104.98 / $104.98	Professional		$78.92	$104.98	$104.98
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $83.66 / $87.85	Professional		$78.92	$83.66	$87.85