Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Facility		$180.20	$180.20	$180.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $198.21	Professional		$180.20	$180.20	$198.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.16 / $204.34 / $214.72	Facility		$196.16	$204.34	$214.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.28 / $173.28 / $173.28	Professional		$147.28	$173.28	$173.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.43 / $132.43 / $132.43	Facility		$132.43	$132.43	$132.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $104.72 / $204.89	Professional		$77.40	$104.72	$204.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $180.20 / $203.81	Facility		$168.56	$180.20	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $203.81 / $525.16	Professional		$141.25	$203.81	$525.16
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 $172.03 / $209.27 / $218.36	Professional		$172.03	$209.27	$218.36