Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $93.70 / $287.55	Facility		$63.90	$93.70	$287.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $63.90	Professional		$63.90	$63.90	$63.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $133.12 / $199.68	Facility		$23.46	$133.12	$199.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $17.77 / $26.65	Professional		$17.77	$17.77	$26.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.79 / $69.79 / $90.73	Facility		$69.79	$69.79	$90.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.79 / $69.79 / $99.07	Professional		$69.79	$69.79	$99.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $67.89 / $109.51	Professional		$17.77	$67.89	$109.51
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $82.53	Professional		$66.56	$66.56	$82.53