Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.41 / $803.72 / $2,942.92	Facility		$788.41	$803.72	$2,942.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.41 / $847.01 / $1,016.53	Professional		$788.41	$847.01	$1,016.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $858.43 / $858.43 / $858.43	Professional		$858.43	$858.43	$858.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.02 / $1,117.31 / $1,448.71	Professional		$674.02	$1,117.31	$1,448.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $791.13 / $1,077.30 / $1,267.41	Facility		$791.13	$1,077.30	$1,267.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $871.34 / $1,108.98 / $1,584.26	Professional		$871.34	$1,108.98	$1,584.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $995.05 / $995.05 / $995.05	Facility		$995.05	$995.05	$995.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $1,097.64 / $4,161.25	Professional		$755.00	$1,097.64	$4,161.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $45.00 / $67.59	Professional		$35.10	$45.00	$67.59
United Facility/Professional Professional Modifier Low / Median / High Price $593.75 / $843.75 / $1,343.75	Professional		$593.75	$843.75	$1,343.75