Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.50 / $244.90 / $1,361.64	Facility		$202.50	$244.90	$1,361.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $244.90 / $254.08	Professional		$244.90	$244.90	$254.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.79 / $300.83 / $301.02	Facility		$288.79	$300.83	$301.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $32.81 / $32.81	Professional		$27.89	$32.81	$32.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $260.13 / $286.14 / $416.21	Facility		$260.13	$286.14	$416.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.68 / $299.14 / $400.60	Professional		$255.68	$299.14	$400.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.01 / $260.20 / $370.26	Professional		$236.01	$260.20	$370.26
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 $255.10 / $255.10 / $273.20	Professional		$255.10	$255.10	$273.20