Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.33 / $292.33 / $621.21	Facility		$292.33	$292.33	$621.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.33 / $292.33 / $303.30	Professional		$292.33	$292.33	$303.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.14 / $241.81 / $477.99	Facility		$232.14	$241.81	$477.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.30 / $205.06 / $205.06	Professional		$174.30	$205.06	$205.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $271.31 / $280.16 / $328.80	Facility		$271.31	$280.16	$328.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $260.00 / $452.18	Professional		$221.00	$260.00	$452.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $310.61 / $310.61	Facility		$310.61	$310.61	$310.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.22 / $310.61 / $607.85	Professional		$258.22	$310.61	$607.85
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 $298.30 / $298.30 / $298.30	Professional		$298.30	$298.30	$298.30