Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $60.22 / $31,876.80	Facility		$21.52	$60.22	$31,876.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.51 / $22.06	Professional		$21.31	$21.51	$22.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $42.62 / $56.47	Facility		$21.31	$42.62	$56.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $21.31 / $30.26	Professional		$18.11	$21.31	$30.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $31.75	Facility		$21.31	$21.31	$31.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $24.51	Professional		$21.31	$21.31	$24.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $57.45	Facility		$21.31	$21.31	$57.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $61.22	Professional		$21.31	$21.31	$61.22
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $28.47	Professional		$21.31	$21.31	$28.47