Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.52 / $258.64 / $439.69	Facility		$258.52	$258.64	$439.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $258.64 / $355.19	Professional		$258.63	$258.64	$355.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $292.80 / $305.00 / $517.28	Facility		$292.80	$305.00	$517.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.77 / $258.64 / $258.64	Professional		$232.77	$258.64	$258.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $310.37 / $413.82	Facility		$258.64	$310.37	$413.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $284.50 / $398.31	Professional		$258.64	$284.50	$398.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.93 / $248.93 / $258.64	Facility		$248.93	$248.93	$258.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.64 / $352.23	Professional		$258.52	$258.64	$352.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.93 / $258.64 / $323.61	Professional		$248.93	$258.64	$323.61
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $273.80 / $287.92	Professional		$258.64	$273.80	$287.92