Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.90 / $542.27 / $542.27	Facility		$522.90	$542.27	$542.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.23 / $522.90 / $543.47	Professional		$449.23	$522.90	$543.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $683.24 / $758.89 / $763.02	Professional		$683.24	$758.89	$763.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.30 / $1,017.36 / $1,069.25	Facility		$633.30	$1,017.36	$1,069.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.84 / $493.63 / $544.83	Professional		$475.84	$493.63	$544.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.02 / $1,416.59 / $1,629.57	Facility		$763.02	$1,416.59	$1,629.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $966.49 / $1,264.81 / $1,678.64	Professional		$966.49	$1,264.81	$1,678.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $1,192.22	Facility		$710.11	$710.11	$1,192.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $565.04 / $4,852.92	Professional		$518.38	$565.04	$4,852.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $445.93 / $565.57 / $679.77	Professional		$445.93	$565.57	$679.77
United Facility/Professional Professional Modifier Low / Median / High Price $338.37 / $466.74 / $670.70	Professional		$338.37	$466.74	$670.70