Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $236.62 / $402.25	Facility		$236.62	$236.62	$402.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $286.31	Professional		$236.62	$236.62	$286.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.86 / $279.02 / $473.24	Facility		$267.86	$279.02	$473.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $236.62	Professional		$236.62	$236.62	$236.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.62 / $260.27 / $378.59	Facility		$236.62	$260.27	$378.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $260.27 / $343.10	Professional		$236.62	$260.27	$343.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.12 / $233.12 / $236.62	Facility		$233.12	$233.12	$236.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $322.39	Professional		$236.62	$236.62	$322.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $236.62 / $303.06	Professional		$233.12	$236.62	$303.06
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $250.82 / $263.41	Professional		$236.62	$250.82	$263.41