Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $28.20 / $59.25	Facility		$28.20	$28.20	$59.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.93 / $35.54	Professional		$28.20	$28.93	$35.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $53.03 / $59.25	Facility		$46.81	$53.03	$59.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $36.21 / $49.96	Professional		$29.69	$36.21	$49.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.36 / $66.15 / $88.88	Facility		$50.36	$66.15	$88.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $65.18 / $79.98	Professional		$50.36	$65.18	$79.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $59.25	Facility		$37.03	$37.03	$59.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $60.78	Professional		$27.03	$37.03	$60.78
United Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $29.56 / $44.85	Professional		$19.71	$29.56	$44.85