Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $248.50 / $422.45	Facility		$248.50	$248.50	$422.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $300.69	Professional		$248.50	$248.50	$300.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.32 / $293.04 / $497.00	Facility		$281.32	$293.04	$497.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.17 / $248.50 / $248.50	Professional		$234.17	$248.50	$248.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $298.20 / $397.60	Facility		$248.50	$298.20	$397.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $273.35 / $382.69	Professional		$248.50	$273.35	$382.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.63 / $243.63 / $248.50	Facility		$243.63	$243.63	$248.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $338.58	Professional		$248.50	$248.50	$338.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $248.50 / $316.72	Professional		$243.63	$248.50	$316.72
United Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $248.34 / $248.34	Facility		$248.34	$248.34	$248.34
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $263.41 / $276.63	Professional		$248.50	$263.41	$276.63