Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $112.10 / $256.58	Facility		$37.04	$112.10	$256.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $44.00	Professional		$36.67	$36.67	$44.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $73.34 / $110.01	Facility		$38.50	$73.34	$110.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $50.60	Professional		$36.67	$36.67	$50.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $36.67 / $55.01	Facility		$36.67	$36.67	$55.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $45.84	Professional		$36.67	$36.67	$45.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $36.67 / $36.67	Facility		$36.67	$36.67	$36.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $36.67 / $62.08	Professional		$36.67	$36.67	$62.08
United Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $40.82 / $55.01	Professional		$36.67	$40.82	$55.01