Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.35 / $363.32 / $363.32	Facility		$350.35	$363.32	$363.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.67 / $350.35 / $364.16	Professional		$306.67	$350.35	$364.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $579.39 / $579.39 / $579.39	Professional		$579.39	$579.39	$579.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $424.32 / $681.64 / $716.40	Facility		$424.32	$681.64	$716.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.82 / $354.66 / $396.47	Professional		$318.82	$354.66	$396.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.23 / $949.19 / $1,091.83	Facility		$511.23	$949.19	$1,091.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $647.55 / $847.49 / $1,124.71	Professional		$647.55	$847.49	$1,124.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $798.79	Facility		$419.48	$419.48	$798.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $419.48 / $3,251.52	Professional		$306.22	$419.48	$3,251.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.78 / $378.94 / $455.46	Professional		$298.78	$378.94	$455.46
United Facility/Professional Professional Modifier Low / Median / High Price $226.71 / $332.97 / $449.37	Professional		$226.71	$332.97	$449.37