Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $164.25 / $279.23	Facility		$163.21	$164.25	$279.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $197.48	Professional		$164.25	$164.25	$197.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.95 / $193.70 / $328.50	Facility		$185.95	$193.70	$328.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $164.25 / $164.25	Professional		$160.69	$164.25	$164.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $197.10 / $262.80	Facility		$164.25	$197.10	$262.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $180.68 / $252.95	Professional		$164.25	$180.68	$252.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $161.94 / $164.25	Facility		$161.94	$161.94	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $164.25 / $222.37	Professional		$163.21	$164.25	$222.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $163.21 / $197.96	Professional		$152.28	$163.21	$197.96
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $174.11 / $182.84	Professional		$164.25	$174.11	$182.84