Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $56.23	Professional		$33.88	$47.86	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $107.15	Facility		$67.61	$85.11	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $104.71	Professional		$64.57	$67.61	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $104.71 / $138.04	Facility		$12.59	$104.71	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $54.95 / $54.95	Facility		$32.36	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $97.72	Professional		$46.77	$54.95	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $36.31 / $63.10	Facility		$4.47	$36.31	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $69.18	Professional		$27.54	$45.71	$69.18