Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $199.53 / $1,202.26	Facility		$138.04	$199.53	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $223.87	Professional		$138.04	$141.25	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $165.96 / $263.03	Facility		$158.49	$165.96	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $223.87	Facility		$138.04	$138.04	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $204.17	Professional		$138.04	$144.54	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $204.17	Facility		$141.25	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $588.84	Professional		$141.25	$141.25	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $141.25 / $181.97	Professional		$138.04	$141.25	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $154.88	Professional		$141.25	$147.91	$154.88