Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $182.18 / $182.18	Facility		$182.18	$182.18	$182.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $184.00	Professional		$182.18	$182.18	$184.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.24 / $214.84 / $214.84	Facility		$206.24	$214.84	$214.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.85 / $182.18 / $182.18	Professional		$154.85	$182.18	$182.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $255.05 / $291.49	Facility		$182.18	$255.05	$291.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $200.40 / $264.16	Professional		$182.18	$200.40	$264.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.18 / $425.00 / $425.00	Facility		$182.18	$425.00	$425.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $266.17	Professional		$182.18	$182.18	$266.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $236.83	Professional		$182.18	$182.18	$236.83
United Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $182.18 / $195.11	Professional		$182.18	$182.18	$195.11