Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $524.81 / $851.14	Professional		$457.09	$524.81	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,023.29	Professional		$524.81	$758.58	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,288.25	Facility		$549.54	$1,023.29	$1,288.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $1,023.29	Professional		$489.78	$549.54	$1,023.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,513.56	Facility		$1,023.29	$1,258.93	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,023.29	Facility		$707.95	$707.95	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $831.76	Professional		$512.86	$512.86	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $691.83 / $812.83	Facility		$346.74	$691.83	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $691.83	Professional		$302.00	$489.78	$691.83