Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.13 / $207.13 / $352.12	Facility		$206.13	$207.13	$352.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $249.42	Professional		$207.13	$207.13	$249.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.48 / $244.25 / $414.26	Facility		$234.48	$244.25	$414.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $207.13 / $207.13	Professional		$207.13	$207.13	$207.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.13 / $248.56 / $331.41	Facility		$207.13	$248.56	$331.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $227.84 / $318.98	Professional		$207.13	$227.84	$318.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.81 / $206.81 / $207.13	Facility		$206.81	$206.81	$207.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $207.13 / $282.39	Professional		$206.13	$207.13	$282.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.04 / $207.13 / $266.55	Professional		$205.04	$207.13	$266.55
United Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $207.00 / $207.00	Facility		$207.00	$207.00	$207.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.13 / $219.56 / $230.58	Professional		$207.13	$219.56	$230.58