Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.15 / $243.61 / $414.14	Facility		$243.15	$243.61	$414.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $243.61 / $255.31	Professional		$243.61	$243.61	$255.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.77 / $287.27 / $487.22	Facility		$275.77	$287.27	$487.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.06 / $243.61 / $243.61	Professional		$207.06	$243.61	$243.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.61 / $264.69 / $389.78	Facility		$243.61	$264.69	$389.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $243.61 / $255.79 / $375.16	Professional		$243.61	$255.79	$375.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.54 / $238.54 / $243.61	Facility		$238.54	$238.54	$243.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $243.61 / $443.20	Professional		$219.39	$243.61	$443.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $235.77 / $235.77 / $235.77	Professional		$235.77	$235.77	$235.77
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $243.61 / $243.61	Professional		$97.44	$243.61	$243.61