Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.47 / $816.47 / $816.47	Facility		$816.47	$816.47	$816.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $816.47 / $995.06	Professional		$120.00	$816.47	$995.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $81.00 / $81.00	Professional		$81.00	$81.00	$81.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.20 / $700.20 / $1,351.39	Facility		$700.20	$700.20	$1,351.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.16 / $700.20 / $1,170.66	Professional		$560.16	$700.20	$1,170.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $610.78 / $1,058.43	Facility		$96.70	$610.78	$1,058.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $639.07 / $1,017.73	Professional		$101.54	$639.07	$1,017.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $1,017.80	Facility		$64.00	$64.00	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.49 / $750.60 / $750.60	Professional		$190.49	$750.60	$750.60
United Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $97.17 / $200.41	Professional		$40.57	$97.17	$200.41