Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.98 / $67.95 / $67.95	Facility		$66.98	$67.95	$67.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.95	Professional		$67.27	$67.27	$67.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $129.83	Facility		$67.27	$67.27	$129.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $95.52	Professional		$67.27	$67.27	$95.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $100.91	Facility		$67.27	$67.27	$100.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $80.72	Professional		$67.27	$67.27	$80.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $82.77	Professional		$67.27	$67.27	$82.77
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $89.86	Professional		$67.27	$67.27	$89.86