Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,819.70	Facility		$616.60	$1,047.13	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $794.33	Professional		$549.54	$575.44	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $758.58	Professional		$457.09	$645.65	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $758.58 / $794.33	Facility		$676.08	$758.58	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $645.65	Professional		$13.18	$13.18	$645.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,258.93	Facility		$758.58	$1,023.29	$1,258.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,202.26	Professional		$758.58	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $1,202.26	Facility		$489.78	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $3,630.78 / $3,630.78	Professional		$346.74	$3,630.78	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $794.33	Professional		$316.23	$478.63	$794.33