Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.56 / $774.56 / $774.56	Facility		$774.56	$774.56	$774.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.56 / $794.42 / $1,549.89	Professional		$694.56	$794.42	$1,549.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.90 / $1,135.70 / $1,136.35	Professional		$832.90	$1,135.70	$1,136.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.03 / $847.10 / $1,304.96	Professional		$720.03	$847.10	$1,304.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.97 / $1,014.30 / $1,316.75	Facility		$822.97	$1,014.30	$1,316.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $822.97 / $1,028.71 / $1,316.75	Professional		$822.97	$1,028.71	$1,316.75
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 / $1,087.20 / $1,797.78	Professional		$834.66	$1,087.20	$1,797.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,069.85	Professional		$32.34	$32.34	$1,069.85
United Facility/Professional Professional Modifier Low / Median / High Price $750.09 / $981.17 / $1,427.84	Professional		$750.09	$981.17	$1,427.84