Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.00 / $387.50 / $426.40	Facility		$372.00	$387.50	$426.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $310.00 / $310.00	Professional		$263.50	$310.00	$310.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.15 / $151.15 / $302.30	Facility		$151.15	$151.15	$302.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $151.15 / $211.60	Professional		$111.96	$151.15	$211.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.25 / $118.25 / $118.25	Facility		$118.25	$118.25	$118.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $91.00 / $91.00	Professional		$91.00	$91.00	$91.00
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 $195.94 / $195.94 / $231.21	Professional		$195.94	$195.94	$231.21