Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $93.33	Facility		$20.89	$20.89	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $54.95	Professional		$20.89	$37.15	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $114.82 / $151.36	Facility		$23.44	$114.82	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $42.66	Professional		$23.44	$31.62	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $288.40 / $43,651.58	Facility		$19.05	$288.40	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $112.20	Professional		$26.30	$30.90	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.88	Facility		$33.11	$33.11	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $77.62 / $147.91	Professional		$15.85	$77.62	$147.91