Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.43 / $776.43 / $776.43	Facility		$776.43	$776.43	$776.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.02 / $794.42 / $1,360.72	Professional		$648.02	$794.42	$1,360.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $937.49 / $1,222.82 / $1,222.82	Professional		$937.49	$1,222.82	$1,222.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.28 / $974.10 / $1,312.30	Professional		$779.28	$974.10	$1,312.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.83 / $978.25 / $1,222.82	Facility		$794.83	$978.25	$1,222.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $815.21 / $978.25 / $1,222.82	Professional		$815.21	$978.25	$1,222.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.16 / $1,020.16 / $1,020.16	Facility		$1,020.16	$1,020.16	$1,020.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.66 / $1,014.61 / $1,579.53	Professional		$834.66	$1,014.61	$1,579.53
United Facility/Professional Professional Modifier Low / Median / High Price $778.22 / $952.93 / $1,411.17	Professional		$778.22	$952.93	$1,411.17