Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $389.05	Facility		$194.98	$194.98	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $275.42	Professional		$194.98	$194.98	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $229.09 / $371.54	Facility		$223.87	$229.09	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $302.00	Facility		$190.55	$190.55	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $275.42	Professional		$190.55	$199.53	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $281.84	Facility		$194.98	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $794.33	Professional		$194.98	$194.98	$794.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $257.04	Professional		$190.55	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $208.93 / $218.78	Professional		$194.98	$208.93	$218.78