Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.76 / $340.31 / $578.53	Facility		$339.76	$340.31	$578.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $357.33	Professional		$340.31	$340.31	$357.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.26 / $401.31 / $680.62	Facility		$385.26	$401.31	$680.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $340.31 / $340.31	Professional		$340.31	$340.31	$340.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $340.31 / $369.78 / $544.50	Facility		$340.31	$369.78	$544.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.31 / $357.33 / $524.08	Professional		$340.31	$357.33	$524.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $340.31 / $416.54	Facility		$328.91	$340.31	$416.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.76 / $340.31 / $24,528.00	Professional		$339.76	$340.31	$24,528.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $340.04 / $340.04 / $340.04	Professional		$340.04	$340.04	$340.04
United Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $340.31 / $340.31	Professional		$136.12	$340.31	$340.31