Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $245.47 / $245.47	Facility		$194.98	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $323.59	Professional		$104.71	$245.47	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $251.19	Professional		$125.89	$125.89	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $42,657.95	Professional		$42,657.95	$42,657.95	$42,657.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $44.67	Professional		$30.20	$44.67	$44.67