Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $216.90 / $368.73	Facility		$216.74	$216.90	$368.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $262.26	Professional		$216.90	$216.90	$262.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.56 / $255.79 / $433.80	Facility		$245.56	$255.79	$433.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $260.27 / $347.04	Facility		$216.90	$260.27	$347.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $238.59 / $334.03	Professional		$216.90	$238.59	$334.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $212.42 / $216.90	Facility		$212.42	$212.42	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $216.90 / $295.31	Professional		$216.74	$216.90	$295.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $275.60	Professional		$212.00	$212.00	$275.60
United Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $223.41 / $241.46	Professional		$216.90	$223.41	$241.46