Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $53.09 / $107.26	Facility		$53.09	$53.09	$107.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $53.29 / $57.61	Professional		$51.05	$53.29	$57.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.74 / $96.00 / $107.26	Facility		$84.74	$96.00	$107.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $57.20 / $78.93	Professional		$52.33	$57.20	$78.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $117.99 / $160.88	Facility		$80.90	$117.99	$160.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.17 / $117.99 / $144.80	Professional		$91.17	$117.99	$144.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.89 / $59.89 / $107.26	Facility		$59.89	$59.89	$107.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $59.89 / $110.04	Professional		$43.72	$59.89	$110.04
United Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $51.28 / $72.02	Professional		$31.88	$51.28	$72.02