Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.94 / $481.94 / $762.72	Facility		$481.94	$481.94	$762.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $481.94 / $791.01	Professional		$407.28	$481.94	$791.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $922.27 / $922.27 / $1,229.69	Professional		$922.27	$922.27	$1,229.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.54 / $682.63 / $762.72	Facility		$602.54	$682.63	$762.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $742.43 / $1,290.74	Professional		$733.00	$742.43	$1,290.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $648.30 / $898.49 / $1,144.08	Facility		$648.30	$898.49	$1,144.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $648.30 / $838.99 / $1,029.67	Professional		$648.30	$838.99	$1,029.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $762.72 / $812.83 / $952.31	Facility		$762.72	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $812.83 / $1,050.92	Professional		$593.37	$812.83	$1,050.92
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $746.21 / $1,038.42	Professional		$420.18	$746.21	$1,038.42