Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.05 / $558.66 / $579.35	Facility		$351.05	$558.66	$579.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.05 / $558.66 / $580.66	Professional		$351.05	$558.66	$580.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $806.84 / $806.84 / $806.84	Professional		$806.84	$806.84	$806.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.61 / $1,086.92 / $1,142.34	Facility		$676.61	$1,086.92	$1,142.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $565.54 / $584.04	Professional		$445.00	$565.54	$584.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $815.19 / $1,513.53 / $1,741.01	Facility		$815.19	$1,513.53	$1,741.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,032.57 / $1,351.36 / $1,793.42	Professional		$1,032.57	$1,351.36	$1,793.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.03 / $702.03 / $1,273.74	Facility		$702.03	$702.03	$1,273.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.48 / $702.03 / $5,184.87	Professional		$512.48	$702.03	$5,184.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $568.03 / $692.73 / $865.91	Professional		$568.03	$692.73	$865.91
United Facility/Professional Professional Modifier Low / Median / High Price $361.50 / $521.96 / $737.30	Professional		$361.50	$521.96	$737.30