Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Professional		$245.47	$245.47	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $288.40 / $288.40	Facility		$275.42	$288.40	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $251.19	Professional		$245.47	$245.47	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $389.05	Facility		$245.47	$245.47	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $346.74	Professional		$245.47	$263.03	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $371.54	Facility		$245.47	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $1,047.13	Professional		$245.47	$245.47	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $229.09 / $295.12	Professional		$213.80	$229.09	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $269.15	Professional		$125.89	$239.88	$269.15