Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.05 / $526.78 / $612.63	Facility		$245.05	$526.78	$612.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $94.64 / $126.18	Facility		$78.86	$94.64	$126.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.51 / $86.75 / $118.07	Professional		$77.51	$86.75	$118.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.52 / $103.52 / $318.17	Professional		$103.52	$103.52	$318.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.05 / $245.05 / $254.85	Professional		$245.05	$245.05	$254.85