Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.99 / $429.32 / $513.58	Facility		$413.99	$429.32	$513.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.66 / $429.32 / $610.66	Professional		$333.66	$429.32	$610.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $601.09 / $634.26 / $634.26	Professional		$601.09	$634.26	$634.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.59 / $682.08 / $716.87	Facility		$424.59	$682.08	$716.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.44 / $542.44 / $733.69	Professional		$542.44	$542.44	$733.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.56 / $920.81 / $1,125.43	Facility		$511.56	$920.81	$1,125.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $579.77 / $818.50 / $1,125.43	Professional		$579.77	$818.50	$1,125.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $794.65	Facility		$621.29	$647.80	$794.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $3,096.90	Professional		$472.90	$472.90	$3,096.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $745.04	Professional		$100.00	$100.00	$745.04
United Facility/Professional Professional Modifier Low / Median / High Price $330.16 / $542.44 / $768.45	Professional		$330.16	$542.44	$768.45