Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $217.75 / $552.12	Facility		$70.06	$217.75	$552.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $83.77	Professional		$69.37	$69.37	$83.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $138.74 / $167.88	Facility		$69.37	$138.74	$167.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $77.48 / $110.03	Professional		$69.37	$77.48	$110.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $104.06	Facility		$69.37	$69.37	$104.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $86.71	Professional		$69.37	$69.37	$86.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.37 / $69.37 / $93.57	Facility		$69.37	$69.37	$93.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $69.37 / $79.63	Professional		$69.37	$69.37	$79.63
United Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $73.53 / $83.24	Professional		$69.37	$73.53	$83.24