Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.87 / $52.87 / $106.82	Facility		$52.87	$52.87	$106.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $54.91 / $57.96	Professional		$48.87	$54.91	$57.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.39 / $95.60 / $106.82	Facility		$84.39	$95.60	$106.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $52.58 / $72.56	Professional		$51.47	$52.58	$72.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $117.50 / $160.22	Facility		$86.27	$117.50	$160.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $117.50 / $144.21	Professional		$90.80	$117.50	$144.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $66.78 / $106.82	Facility		$66.78	$66.78	$106.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $66.78 / $97.74	Professional		$48.75	$66.78	$97.74
United Facility/Professional Facility Modifier Low / Median / High Price $140.62 / $140.62 / $140.62	Facility		$140.62	$140.62	$140.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $51.07 / $69.54	Professional		$29.23	$51.07	$69.54