Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.19 / $586.12 / $692.15	Facility		$565.19	$586.12	$692.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.28 / $565.19 / $822.97	Professional		$407.28	$565.19	$822.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $922.27 / $922.27 / $922.27	Professional		$922.27	$922.27	$922.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.30 / $898.49 / $944.31	Facility		$559.30	$898.49	$944.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $1,290.74 / $1,290.74	Professional		$733.00	$1,290.74	$1,290.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $673.87 / $1,212.96 / $1,482.51	Facility		$673.87	$1,212.96	$1,482.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $763.72 / $1,078.19 / $1,482.51	Professional		$763.72	$1,078.19	$1,482.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,046.78	Facility		$812.83	$812.83	$1,046.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $812.83 / $4,015.83	Professional		$593.37	$812.83	$4,015.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,058.40 / $1,290.74 / $1,613.42	Professional		$1,058.40	$1,290.74	$1,613.42
United Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $774.44 / $1,097.13	Professional		$444.95	$774.44	$1,097.13