Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $794.33	Facility		$281.84	$416.87	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $165.96	Professional		$141.25	$165.96	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $13,182.57	Facility		$416.87	$691.83	$13,182.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $7,585.78	Professional		$457.09	$537.03	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $660.69 / $660.69	Facility		$269.15	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,995.26 / $1,995.26	Professional		$478.63	$1,995.26	$1,995.26
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 $173.78 / $223.87 / $436.52	Professional		$173.78	$223.87	$436.52