Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.65 / $197.83 / $336.31	Facility		$197.65	$197.83	$336.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $239.16	Professional		$197.83	$197.83	$239.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.96 / $233.29 / $395.66	Facility		$223.96	$233.29	$395.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $197.83 / $197.83	Professional		$197.83	$197.83	$197.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.83 / $237.40 / $316.52	Facility		$197.83	$237.40	$316.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $217.61 / $304.66	Professional		$197.83	$217.61	$304.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $194.08 / $197.83	Facility		$194.08	$194.08	$197.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.65 / $197.83 / $269.30	Professional		$197.65	$197.83	$269.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $197.83 / $252.30	Professional		$194.08	$197.83	$252.30
United Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $209.70 / $220.23	Professional		$197.83	$209.70	$220.23