Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.72 / $416.78 / $1,786.73	Facility		$300.72	$416.78	$1,786.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $483.46	Professional		$416.78	$416.78	$483.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $287.58 / $287.58	Professional		$19.00	$287.58	$287.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $166.71 / $166.71	Facility		$166.71	$166.71	$166.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.03 / $166.71 / $166.71	Professional		$125.03	$166.71	$166.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.46 / $687.69 / $10,502.86	Facility		$458.46	$687.69	$10,502.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $445.95 / $541.80 / $7,672.98	Professional		$445.95	$541.80	$7,672.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $324.30 / $549.95	Facility		$270.91	$324.30	$549.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $531.64 / $2,008.88	Professional		$312.58	$531.64	$2,008.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.07 / $226.20 / $416.78	Professional		$175.07	$226.20	$416.78