Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.38 / $591.38 / $874.21	Facility		$591.38	$591.38	$874.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.30 / $723.47 / $874.21	Professional		$363.30	$723.47	$874.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $887.79 / $893.63 / $3,836.99	Professional		$887.79	$893.63	$3,836.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $56.99 / $1,014.01	Professional		$56.99	$56.99	$1,014.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $196.45 / $1,859.44	Facility		$101.61	$196.45	$1,859.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.85 / $196.45 / $1,795.31	Professional		$130.85	$196.45	$1,795.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $1,497.62	Facility		$795.00	$795.00	$1,497.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.54 / $795.00 / $950.31	Professional		$584.54	$795.00	$950.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $99.73 / $997.39	Professional		$77.89	$99.73	$997.39
United Facility/Professional Professional Modifier Low / Median / High Price $445.72 / $668.58 / $807.42	Professional		$445.72	$668.58	$807.42