Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.42 / $1,396.19 / $3,414.75	Facility		$256.42	$1,396.19	$3,414.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.33 / $288.73 / $391.17	Professional		$223.33	$288.73	$391.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.33 / $365.33 / $422.97	Professional		$365.33	$365.33	$422.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $400.00 / $577.05	Professional		$340.00	$400.00	$577.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.23 / $636.23 / $636.23	Facility		$636.23	$636.23	$636.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $444.22 / $590.79 / $125,998.74	Professional		$444.22	$590.79	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $440.51 / $554.63	Facility		$440.51	$440.51	$554.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.85 / $440.51 / $2,179.60	Professional		$392.85	$440.51	$2,179.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $520.75	Professional		$520.75	$520.75	$520.75