Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $217.09 / $369.05	Facility		$217.09	$217.09	$369.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $262.68	Professional		$217.09	$217.09	$262.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.76 / $256.00 / $434.18	Facility		$245.76	$256.00	$434.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $217.09	Professional		$217.09	$217.09	$217.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $260.51 / $347.34	Facility		$217.09	$260.51	$347.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $238.80 / $334.32	Professional		$217.09	$238.80	$334.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.76 / $214.76 / $217.09	Facility		$214.76	$214.76	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $295.77	Professional		$217.09	$217.09	$295.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.76 / $217.09 / $279.19	Professional		$214.76	$217.09	$279.19
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $223.60 / $241.67	Professional		$217.09	$223.60	$241.67