Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $933.25 / $3,890.45	Facility		$251.19	$933.25	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $575.44 / $707.95	Professional		$512.86	$575.44	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $575.44	Professional		$478.63	$501.19	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $676.08	Professional		$457.09	$602.56	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $676.08 / $891.25	Facility		$549.54	$676.08	$891.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $912.01	Professional		$467.74	$707.95	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $2,884.03 / $2,884.03	Professional		$562.34	$2,884.03	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $64.57	Professional		$35.48	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,258.93	Professional		$501.19	$707.95	$1,258.93