Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.97 / $486.77 / $739.27	Facility		$248.97	$486.77	$739.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.97 / $418.47 / $538.91	Professional		$248.97	$418.47	$538.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $513.70 / $776.25 / $776.25	Professional		$513.70	$776.25	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.49 / $913.24 / $959.82	Facility		$568.49	$913.24	$959.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $401.09 / $427.14	Professional		$330.00	$401.09	$427.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $684.93 / $1,161.86 / $1,327.86	Facility		$684.93	$1,161.86	$1,327.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $811.38 / $1,095.89 / $1,506.85	Professional		$811.38	$1,095.89	$1,506.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $1,070.20	Facility		$460.00	$460.00	$1,070.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $3,928.20	Professional		$335.80	$460.00	$3,928.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $582.03 / $727.53	Professional		$477.26	$582.03	$727.53
United Facility/Professional Professional Modifier Low / Median / High Price $276.02 / $411.37 / $602.05	Professional		$276.02	$411.37	$602.05