Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $933.25	Facility		$549.54	$549.54	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $933.25	Professional		$467.74	$794.33	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $954.99	Professional		$645.65	$954.99	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $630.96 / $1,000.00	Facility		$64.57	$630.96	$1,000.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $478.63 / $1,995.26	Professional		$64.57	$478.63	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,071.52 / $1,513.56	Facility		$151.36	$1,071.52	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,258.93 / $1,698.24	Professional		$331.13	$1,258.93	$1,698.24