Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $153.93	Facility		$51.31	$51.31	$153.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $153.93 / $278.56	Facility		$20.52	$153.93	$278.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.52 / $27.64	Professional		$20.52	$20.52	$27.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $69.27 / $82.10	Facility		$51.31	$69.27	$82.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.44 / $72.73	Professional		$51.31	$56.44	$72.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $97.20 / $200.49	Facility		$33.35	$97.20	$200.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $67.73 / $67.95	Professional		$51.31	$67.73	$67.95
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $56.39	Professional		$21.55	$30.79	$56.39