Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $138.60	Facility		$68.59	$68.59	$138.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.59 / $71.23 / $77.06	Professional		$68.59	$71.23	$77.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $124.05 / $138.60	Facility		$109.49	$124.05	$138.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $84.28 / $115.24	Professional		$67.61	$84.28	$115.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.95 / $152.46 / $207.90	Facility		$103.95	$152.46	$207.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.81 / $152.46 / $187.11	Professional		$117.81	$152.46	$187.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $138.60	Facility		$89.65	$89.65	$138.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $89.65 / $142.18	Professional		$65.44	$89.65	$142.18
United Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $68.53 / $101.22	Professional		$46.10	$68.53	$101.22