Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $85.63	Facility		$50.37	$50.37	$85.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $56.65	Professional		$50.37	$50.37	$56.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $59.39 / $100.74	Facility		$57.01	$59.39	$100.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $50.37 / $50.37	Professional		$42.81	$50.37	$50.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $54.85 / $80.59	Facility		$50.37	$54.85	$80.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $55.41 / $77.56	Professional		$50.37	$55.41	$77.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $85.00	Facility		$50.37	$50.37	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $50.37 / $113.20	Professional		$43.50	$50.37	$113.20
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $53.39 / $56.07	Professional		$50.37	$53.39	$56.07