Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Facility		$297.33	$297.33	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Professional		$297.33	$297.33	$297.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.60 / $350.63 / $350.63	Facility		$336.60	$350.63	$350.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.42 / $280.50 / $280.50	Professional		$238.42	$280.50	$280.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Professional		$297.33	$297.33	$297.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $326.48 / $326.48	Facility		$280.50	$326.48	$326.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $419.10 / $419.10	Professional		$326.48	$419.10	$419.10
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 $300.25 / $349.80 / $354.30	Professional		$300.25	$349.80	$354.30