Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $260.81	Facility		$222.25	$222.25	$260.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $237.10	Professional		$222.25	$222.25	$237.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.60 / $262.08 / $444.50	Facility		$251.60	$262.08	$444.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $222.25 / $222.25	Professional		$188.91	$222.25	$222.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $244.48 / $355.60	Facility		$222.25	$244.48	$355.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $244.48 / $355.60	Professional		$222.25	$244.48	$355.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.70 / $399.36 / $399.36	Facility		$363.70	$399.36	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $491.40 / $491.40	Professional		$399.36	$491.40	$491.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $262.26 / $427.88	Professional		$222.25	$262.26	$427.88