Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.23 / $555.61 / $576.19	Facility		$449.23	$555.61	$576.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.23 / $555.61 / $634.54	Professional		$449.23	$555.61	$634.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $604.77 / $604.77 / $604.77	Professional		$604.77	$604.77	$604.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.92 / $1,081.00 / $1,136.13	Facility		$672.92	$1,081.00	$1,136.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.60 / $562.44 / $580.35	Professional		$505.60	$562.44	$580.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $810.75 / $1,505.20 / $1,731.51	Facility		$810.75	$1,505.20	$1,731.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,026.95 / $1,343.93 / $1,783.65	Professional		$1,026.95	$1,343.93	$1,783.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.38 / $731.38 / $1,266.79	Facility		$731.38	$731.38	$1,266.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.91 / $731.38 / $5,156.47	Professional		$533.91	$731.38	$5,156.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $533.04 / $650.04 / $812.56	Professional		$533.04	$650.04	$812.56
United Facility/Professional Professional Modifier Low / Median / High Price $359.53 / $528.03 / $712.65	Professional		$359.53	$528.03	$712.65