Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $524.81	Facility		$257.04	$263.03	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $363.08	Professional		$257.04	$263.03	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $309.03 / $489.78	Facility		$295.12	$309.03	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $407.38	Facility		$257.04	$257.04	$407.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $371.54	Professional		$257.04	$269.15	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $380.19	Facility		$263.03	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $1,096.48	Professional		$263.03	$263.03	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $338.84	Professional		$257.04	$263.03	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $288.40	Professional		$263.03	$275.42	$288.40