Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $23.24	Professional		$22.95	$22.95	$23.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $20.45 / $32.64	Facility		$20.45	$20.45	$32.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $16.91 / $31.55	Professional		$16.91	$16.91	$31.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $93.03	Facility		$64.41	$64.41	$93.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $64.41 / $77.29	Professional		$64.41	$64.41	$77.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Facility		$24.39	$24.39	$24.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $24.39 / $24.39	Professional		$24.39	$24.39	$24.39
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $48.77	Professional		$28.69	$28.69	$48.77