Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.32 / $619.25 / $642.19	Facility		$151.32	$619.25	$642.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.01 / $619.25 / $678.42	Professional		$532.01	$619.25	$678.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $894.32 / $894.32 / $894.32	Professional		$894.32	$894.32	$894.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,204.82 / $1,266.27	Facility		$750.00	$1,204.82	$1,266.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.52 / $626.88 / $643.89	Professional		$563.52	$626.88	$643.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $903.62 / $1,677.68 / $1,929.84	Facility		$903.62	$1,677.68	$1,929.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,144.58 / $1,497.93 / $1,987.95	Professional		$1,144.58	$1,497.93	$1,987.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.69 / $736.69 / $1,411.90	Facility		$736.69	$736.69	$1,411.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.78 / $669.16 / $5,747.18	Professional		$537.78	$669.16	$5,747.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $619.66 / $755.69 / $944.61	Professional		$619.66	$755.69	$944.61
United Facility/Professional Professional Modifier Low / Median / High Price $400.72 / $543.26 / $765.47	Professional		$400.72	$543.26	$765.47