Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $204.61 / $347.84	Facility		$204.61	$204.61	$347.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $257.80	Professional		$204.61	$204.61	$257.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.64 / $241.29 / $409.22	Facility		$231.64	$241.29	$409.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $204.61	Professional		$204.61	$204.61	$204.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $222.51 / $327.38	Facility		$204.61	$222.51	$327.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $214.84 / $315.10	Professional		$204.61	$214.84	$315.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.06 / $204.61 / $256.95	Facility		$200.06	$204.61	$256.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.10 / $204.61 / $387.84	Professional		$200.10	$204.61	$387.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.24 / $205.24 / $205.24	Professional		$205.24	$205.24	$205.24
United Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $204.61 / $205.28	Professional		$81.84	$204.61	$205.28