Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $12.25 / $25.73	Facility		$12.25	$12.25	$25.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $12.57 / $13.71	Professional		$12.25	$12.57	$13.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $23.03 / $25.73	Facility		$20.32	$23.03	$25.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $15.65 / $21.12	Professional		$12.89	$15.65	$21.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $28.30 / $38.60	Facility		$19.30	$28.30	$38.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $28.30 / $34.74	Professional		$21.87	$28.30	$34.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $25.73	Facility		$16.30	$16.30	$25.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $16.30 / $26.39	Professional		$11.91	$16.30	$26.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $12.83 / $19.34	Professional		$8.56	$12.83	$19.34