Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $162.26 / $162.26	Facility		$162.26	$162.26	$162.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $162.26 / $162.26	Professional		$162.26	$162.26	$162.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.34 / $199.31 / $338.04	Facility		$191.34	$199.31	$338.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $169.02 / $169.02	Professional		$143.66	$169.02	$169.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $335.41 / $341.81 / $341.81	Facility		$335.41	$341.81	$341.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $275.52 / $335.42	Professional		$172.40	$275.52	$335.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $250.09	Professional		$172.40	$172.40	$250.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $159.15 / $159.15	Professional		$159.15	$159.15	$159.15
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $208.90	Professional		$202.82	$202.82	$208.90