Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $73.90 / $189.34	Facility		$27.07	$73.90	$189.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.52 / $27.07	Professional		$25.27	$25.52	$27.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.53 / $50.54 / $75.81	Facility		$26.53	$50.54	$75.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $25.27 / $35.88	Professional		$21.47	$25.27	$35.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $34.11	Facility		$25.27	$25.27	$34.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $31.59	Professional		$25.27	$25.27	$31.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Facility		$25.27	$25.27	$25.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $76.20	Professional		$25.27	$25.27	$76.20
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $35.45	Professional		$25.27	$25.27	$35.45