Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $392.09 / $666.55	Facility		$392.09	$392.09	$666.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.08 / $392.09 / $435.61	Professional		$392.08	$392.09	$435.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.88 / $462.38 / $784.18	Facility		$443.88	$462.38	$784.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $392.09	Professional		$392.09	$392.09	$392.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $426.03 / $627.34	Facility		$392.09	$426.03	$627.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $411.69 / $603.82	Professional		$392.09	$411.69	$603.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.09 / $395.26 / $494.08	Facility		$392.09	$395.26	$494.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.09 / $392.09 / $745.74	Professional		$392.09	$392.09	$745.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $394.41 / $394.41 / $394.41	Professional		$394.41	$394.41	$394.41
United Facility/Professional Professional Modifier Low / Median / High Price $156.84 / $392.09 / $392.09	Professional		$156.84	$392.09	$392.09