Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.66 / $858.36 / $858.36	Facility		$580.66	$858.36	$858.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.66 / $687.60 / $896.80	Professional		$505.66	$687.60	$896.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.78 / $300.00	Professional		$39.78	$39.78	$300.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $700.20 / $1,190.40	Professional		$153.78	$700.20	$1,190.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.57 / $580.97 / $1,045.81	Facility		$97.57	$580.97	$1,045.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $621.64 / $1,045.49	Professional		$104.40	$621.64	$1,045.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $1,017.80 / $1,017.80	Facility		$64.00	$1,017.80	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $4,256.35	Professional		$750.60	$750.60	$4,256.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $71.93 / $89.32	Professional		$68.51	$71.93	$89.32
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $103.99 / $203.03	Professional		$41.84	$103.99	$203.03