Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.13 / $532.13 / $1,075.14	Facility		$532.13	$532.13	$1,075.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.67 / $542.15 / $577.47	Professional		$511.67	$542.15	$577.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $604.77 / $752.60 / $1,075.14	Professional		$604.77	$752.60	$1,075.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.36 / $962.25 / $1,075.14	Facility		$849.36	$962.25	$1,075.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $580.35 / $800.88	Professional		$524.50	$580.35	$800.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.75 / $1,182.65 / $1,612.71	Facility		$810.75	$1,182.65	$1,612.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $913.87 / $1,182.65 / $1,451.44	Professional		$913.87	$1,182.65	$1,451.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $1,075.14	Facility		$731.38	$731.38	$1,075.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $731.38 / $1,102.88	Professional		$533.91	$731.38	$1,102.88
United Facility/Professional Professional Modifier Low / Median / High Price $319.45 / $513.99 / $721.96	Professional		$319.45	$513.99	$721.96