Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $60.26 / $912.01	Facility		$25.12	$60.26	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $33.88	Professional		$23.99	$25.12	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $57.54	Facility		$29.51	$37.15	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $38.02	Professional		$25.12	$25.12	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $45.71	Facility		$25.12	$30.20	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $35.48	Professional		$25.12	$25.12	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $40.74	Facility		$27.54	$27.54	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.30 / $28.18	Professional		$25.12	$26.30	$28.18