Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $383.00 / $566.16	Facility		$383.00	$383.00	$566.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $522.47 / $580.24	Professional		$271.54	$522.47	$580.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $311.89	Professional		$311.89	$311.89	$311.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.43 / $893.64 / $913.22	Professional		$408.43	$893.64	$913.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $93.11 / $611.82	Facility		$50.79	$93.11	$611.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $93.11 / $887.14	Professional		$53.61	$93.11	$887.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $654.75 / $1,880.29	Facility		$654.00	$654.75	$1,880.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $654.00 / $918.65	Professional		$154.35	$654.00	$918.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $40.22 / $402.25	Professional		$27.87	$40.22	$402.25
United Facility/Professional Professional Modifier Low / Median / High Price $261.50 / $405.64 / $612.37	Professional		$261.50	$405.64	$612.37