Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.56 / $467.25 / $586.50	Facility		$450.56	$467.25	$586.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $431.26 / $660.09	Professional		$248.48	$431.26	$660.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $731.43 / $731.43 / $731.43	Professional		$731.43	$731.43	$731.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $752.15 / $790.51	Facility		$468.21	$752.15	$790.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.74 / $942.99 / $942.99	Professional		$562.74	$942.99	$942.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $564.11 / $1,015.40 / $1,241.05	Facility		$564.11	$1,015.40	$1,241.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $639.33 / $902.58 / $1,241.05	Professional		$639.33	$902.58	$1,241.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $876.29	Facility		$736.58	$736.58	$876.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $601.72 / $3,368.94	Professional		$537.70	$601.72	$3,368.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $773.25 / $942.99 / $1,178.73	Professional		$773.25	$942.99	$1,178.73
United Facility/Professional Professional Modifier Low / Median / High Price $377.03 / $578.57 / $837.85	Professional		$377.03	$578.57	$837.85