Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $256.67 / $893.67	Facility		$86.64	$256.67	$893.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $256.67 / $266.30	Professional		$256.67	$256.67	$266.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.69 / $315.30 / $315.50	Facility		$302.69	$315.30	$315.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $73.80 / $224.00	Professional		$64.17	$73.80	$224.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.16 / $246.62 / $308.27	Facility		$176.16	$246.62	$308.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.16 / $220.20 / $281.86	Professional		$176.16	$220.20	$281.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $407.47	Professional		$272.70	$272.70	$407.47
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 $267.37 / $267.37 / $286.35	Professional		$267.37	$267.37	$286.35