Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $227.28 / $386.38	Facility		$227.10	$227.28	$386.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $274.79	Professional		$227.28	$227.28	$274.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.29 / $268.01 / $454.56	Facility		$257.29	$268.01	$454.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.76 / $227.28 / $227.28	Professional		$211.76	$227.28	$227.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $272.74 / $363.65	Facility		$227.28	$272.74	$363.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $250.01 / $350.01	Professional		$227.28	$250.01	$350.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $244.09 / $244.09	Facility		$227.28	$244.09	$244.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $227.28 / $306.58	Professional		$227.10	$227.28	$306.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $227.28 / $288.22	Professional		$221.71	$227.28	$288.22
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $240.92 / $253.01	Professional		$227.28	$240.92	$253.01