Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.66 / $1,078.66 / $2,081.81	Facility		$1,078.66	$1,078.66	$2,081.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.31 / $1,078.66 / $1,423.83	Professional		$221.31	$1,078.66	$1,423.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.62 / $193.74 / $193.74	Facility		$135.62	$193.74	$193.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.93 / $379.93 / $379.93	Facility		$379.93	$379.93	$379.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.35 / $379.93 / $391.33	Professional		$277.35	$379.93	$391.33