Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.80 / $436.38 / $538.64	Facility		$420.80	$436.38	$538.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $436.38 / $615.59	Professional		$349.75	$436.38	$615.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $671.54 / $675.71 / $675.71	Professional		$671.54	$675.71	$675.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $445.08 / $714.98 / $751.44	Facility		$445.08	$714.98	$751.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.62 / $519.62 / $769.49	Professional		$519.62	$519.62	$769.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.24 / $965.22 / $1,179.72	Facility		$536.24	$965.22	$1,179.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $607.73 / $857.98 / $1,179.72	Professional		$607.73	$857.98	$1,179.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $832.98	Facility		$636.97	$636.97	$832.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $636.97 / $3,248.20	Professional		$464.99	$636.97	$3,248.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $758.55	Professional		$100.00	$100.00	$758.55
United Facility/Professional Professional Modifier Low / Median / High Price $346.27 / $522.51 / $736.13	Professional		$346.27	$522.51	$736.13