Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.64 / $238.46 / $405.38	Facility		$173.64	$238.46	$405.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $238.46 / $246.22	Professional		$217.05	$238.46	$246.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.95 / $281.20 / $476.92	Facility		$269.95	$281.20	$476.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $238.46	Professional		$238.46	$238.46	$238.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $286.14 / $381.54	Facility		$238.46	$286.14	$381.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $262.31 / $367.23	Professional		$238.46	$262.31	$367.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.46 / $765.00 / $765.00	Facility		$238.46	$765.00	$765.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.05 / $238.46 / $337.44	Professional		$217.05	$238.46	$337.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $173.64 / $238.46	Professional		$145.60	$173.64	$238.46
United Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $252.77 / $265.45	Professional		$238.46	$252.77	$265.45