Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $183.48 / $311.92	Facility		$183.41	$183.48	$311.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.48 / $251.97	Professional		$183.47	$183.48	$251.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.71 / $216.36 / $366.96	Facility		$207.71	$216.36	$366.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $183.48 / $183.48	Professional		$172.71	$183.48	$183.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $201.83 / $293.57	Facility		$183.41	$201.83	$293.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $192.65 / $266.05	Professional		$183.48	$192.65	$266.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $181.09 / $183.48	Facility		$181.09	$181.09	$183.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $183.48 / $247.61	Professional		$183.41	$183.48	$247.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $183.48 / $234.29	Professional		$180.22	$183.48	$234.29
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $204.25	Professional		$183.48	$194.49	$204.25