Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.55 / $576.71 / $598.07	Facility		$373.55	$576.71	$598.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.90 / $591.02 / $662.15	Professional		$340.90	$591.02	$662.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $672.66 / $672.66 / $672.66	Professional		$672.66	$672.66	$672.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.48 / $1,122.06 / $1,179.29	Facility		$698.48	$1,122.06	$1,179.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.80 / $601.79 / $613.00	Professional		$524.80	$601.79	$613.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $841.55 / $1,580.57 / $2,134.31	Facility		$841.55	$1,580.57	$2,134.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,065.96 / $1,402.58 / $1,851.40	Professional		$1,065.96	$1,402.58	$1,851.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $1,359.01	Facility		$700.00	$700.00	$1,359.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $700.00 / $1,970.39	Professional		$511.00	$700.00	$1,970.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $586.39 / $715.11 / $893.88	Professional		$586.39	$715.11	$893.88
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.18 / $554.78 / $854.49	Professional		$373.18	$554.78	$854.49