Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $309.03	Facility		$302.00	$302.00	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $512.86	Professional		$263.03	$354.81	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $588.84 / $616.60	Facility		$537.03	$588.84	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $363.08	Professional		$269.15	$338.84	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $1,023.29	Facility		$436.52	$794.33	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $933.25	Professional		$575.44	$724.44	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,071.52 / $1,071.52	Facility		$380.19	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $3,235.94	Professional		$275.42	$588.84	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $501.19	Professional		$302.00	$389.05	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $389.05	Facility		$288.40	$331.13	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $457.09	Professional		$194.98	$288.40	$457.09