Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $204.96 / $204.96	Facility		$204.96	$204.96	$204.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $207.00	Professional		$204.96	$204.96	$207.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.02 / $241.69 / $241.69	Facility		$232.02	$241.69	$241.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $239.87	Professional		$204.96	$204.96	$239.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $286.94 / $327.94	Facility		$204.96	$286.94	$327.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $225.46 / $297.19	Professional		$204.96	$225.46	$297.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.96 / $1,076.67 / $1,076.67	Facility		$204.96	$1,076.67	$1,076.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $576.55	Professional		$204.96	$204.96	$576.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.93 / $262.93 / $341.81	Professional		$262.93	$262.93	$341.81
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $257.43	Professional		$204.96	$204.96	$257.43