Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $318.52 / $541.50	Facility		$317.42	$318.52	$541.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $384.08	Professional		$318.52	$318.52	$384.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.60 / $375.63 / $637.05	Facility		$360.60	$375.63	$637.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $318.52	Professional		$318.52	$318.52	$318.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $318.52 / $382.24 / $509.65	Facility		$318.52	$382.24	$509.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $350.38 / $490.54	Professional		$318.52	$350.38	$490.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.00 / $313.00 / $318.52	Facility		$313.00	$313.00	$318.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $318.52 / $432.49	Professional		$317.42	$318.52	$432.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $313.00 / $318.52 / $406.90	Professional		$313.00	$318.52	$406.90
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $330.04 / $354.59	Professional		$318.52	$330.04	$354.59