Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $107.76	Facility		$35.90	$35.90	$107.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $35.92	Professional		$35.92	$35.92	$35.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $107.76 / $195.01	Facility		$14.37	$107.76	$195.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $14.37 / $20.39	Professional		$14.37	$14.37	$20.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $50.29 / $57.47	Facility		$35.92	$50.29	$57.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $43.10 / $53.88	Professional		$35.92	$43.10	$53.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $67.86 / $140.47	Facility		$23.35	$67.86	$140.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $37.46 / $47.58	Professional		$35.90	$37.46	$47.58
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $21.55 / $39.51	Professional		$15.08	$21.55	$39.51