Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $136.66 / $232.34	Facility		$136.22	$136.66	$232.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $187.68	Professional		$136.66	$136.66	$187.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.72 / $161.16 / $273.33	Facility		$154.72	$161.16	$273.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.66 / $136.66	Professional		$136.22	$136.66	$136.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $164.00 / $218.67	Facility		$136.66	$164.00	$218.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $150.34 / $210.47	Professional		$136.66	$150.34	$210.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.60 / $135.60 / $136.66	Facility		$135.60	$135.60	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.66 / $185.61	Professional		$136.22	$136.66	$185.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $136.66 / $172.55	Professional		$132.72	$136.66	$172.55
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.87 / $152.13	Professional		$136.66	$144.87	$152.13