Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $446.68	Facility		$426.58	$426.58	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $741.31	Professional		$380.19	$467.74	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $851.14 / $891.25	Facility		$776.25	$851.14	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $524.81	Professional		$389.05	$457.09	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,122.02 / $1,479.11	Facility		$630.96	$1,122.02	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,348.96	Professional		$831.76	$1,047.13	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,548.82 / $1,548.82	Facility		$524.81	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $776.25 / $4,677.35	Professional		$380.19	$776.25	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $724.44	Professional		$436.52	$562.34	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $446.68 / $549.54	Facility		$323.59	$446.68	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $645.65	Professional		$281.84	$416.87	$645.65