Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $77.30 / $223.62	Facility		$26.98	$77.30	$223.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $32.61	Professional		$26.71	$26.71	$32.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $53.42 / $64.64	Facility		$26.71	$53.42	$64.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $36.85	Professional		$26.71	$26.71	$36.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $40.07	Facility		$26.71	$26.71	$40.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $33.39	Professional		$26.71	$26.71	$33.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $38.38	Facility		$26.71	$26.71	$38.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $26.71 / $61.91	Professional		$26.71	$26.71	$61.91
United Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $60.64 / $60.64	Facility		$50.03	$60.64	$60.64
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $28.31 / $35.68	Professional		$26.71	$28.31	$35.68