Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $300.00 / $540.00	Facility		$120.00	$300.00	$540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $250.00 / $331.25	Facility		$131.38	$250.00	$331.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $275.00 / $275.00	Professional		$205.00	$275.00	$275.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.41 / $177.19 / $240.00	Facility		$162.41	$177.19	$240.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $203.77 / $239.20	Professional		$177.19	$203.77	$239.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $350.63	Professional		$127.50	$127.50	$350.63
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $155.00	Professional		$125.00	$125.00	$155.00