Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.71 / $583.19 / $604.79	Facility		$334.71	$583.19	$604.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.71 / $541.40 / $608.35	Professional		$334.71	$541.40	$608.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.73 / $964.45 / $964.45	Professional		$567.73	$964.45	$964.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.32 / $1,134.65 / $1,192.52	Facility		$706.32	$1,134.65	$1,192.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $492.35 / $557.09	Professional		$492.35	$492.35	$557.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.99 / $1,531.78 / $1,806.72	Facility		$850.99	$1,531.78	$1,806.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,077.92 / $1,361.58 / $1,872.17	Professional		$1,077.92	$1,361.58	$1,872.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $1,329.67	Facility		$632.51	$632.51	$1,329.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.73 / $632.51 / $4,946.33	Professional		$461.73	$632.51	$4,946.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $592.98 / $723.15 / $903.93	Professional		$592.98	$723.15	$903.93
United Facility/Professional Professional Modifier Low / Median / High Price $353.95 / $503.52 / $724.80	Professional		$353.95	$503.52	$724.80