Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.34 / $342.57 / $530.97	Facility		$330.34	$342.57	$530.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.98 / $342.57 / $471.74	Professional		$264.98	$342.57	$471.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $459.98 / $545.60 / $545.60	Professional		$459.98	$545.60	$545.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.20 / $541.67 / $569.30	Facility		$337.20	$541.67	$569.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.73 / $714.77 / $714.77	Professional		$389.73	$714.77	$714.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.23 / $595.85 / $866.69	Facility		$496.23	$595.85	$866.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $496.23 / $645.10 / $866.69	Professional		$496.23	$645.10	$866.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $631.09	Facility		$465.67	$465.67	$631.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $465.67 / $2,497.05	Professional		$339.94	$465.67	$2,497.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $586.11 / $714.77 / $893.46	Professional		$586.11	$714.77	$893.46
United Facility/Professional Professional Modifier Low / Median / High Price $258.17 / $428.86 / $607.54	Professional		$258.17	$428.86	$607.54