Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.39 / $397.39 / $405.10	Facility		$397.39	$397.39	$405.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.01 / $393.35 / $539.46	Professional		$362.01	$393.35	$539.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $357.75 / $373.46	Professional		$357.75	$357.75	$373.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $480.00 / $661.25	Professional		$408.00	$480.00	$661.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $349.66 / $504.86 / $603.95	Facility		$349.66	$504.86	$603.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.13 / $489.53 / $617.04	Professional		$340.13	$489.53	$617.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $468.71 / $468.71	Facility		$42.00	$468.71	$468.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.33 / $475.11 / $739.77	Professional		$344.33	$475.11	$739.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $308.06 / $414.70 / $3,000.00	Professional		$308.06	$414.70	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.93 / $395.52 / $700.92	Professional		$310.93	$395.52	$700.92