Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.39 / $92.45 / $92.45	Facility		$68.39	$92.45	$92.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $92.45	Professional		$91.54	$91.54	$92.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $176.67	Facility		$91.54	$91.54	$176.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $129.97	Professional		$91.54	$91.54	$129.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $137.31	Facility		$91.54	$91.54	$137.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $109.85	Professional		$91.54	$91.54	$109.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Professional		$91.54	$91.54	$91.54
United Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $122.28	Professional		$91.54	$91.54	$122.28