Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $478.63	Facility		$239.88	$239.88	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $338.84	Professional		$239.88	$239.88	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $281.84 / $457.09	Facility		$269.15	$281.84	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $380.19	Facility		$234.42	$234.42	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $346.74	Professional		$234.42	$251.19	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $354.81 / $354.81	Facility		$239.88	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $1,000.00	Professional		$239.88	$239.88	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $239.88 / $309.03	Professional		$234.42	$239.88	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $269.15	Professional		$239.88	$257.04	$269.15