Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $30.62	Facility		$18.01	$18.01	$30.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $22.69	Professional		$18.01	$18.01	$22.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $21.24 / $36.02	Facility		$20.39	$21.24	$36.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $18.01 / $18.01	Professional		$15.30	$18.01	$18.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $19.68 / $28.82	Facility		$18.01	$19.68	$28.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $19.80 / $27.74	Professional		$18.01	$19.80	$27.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $21.22	Facility		$18.01	$18.01	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $34.42 / $34.42	Professional		$18.01	$34.42	$34.42
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.30	Professional		$18.01	$18.01	$18.30