Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.66 / $369.66 / $746.86	Facility		$369.66	$369.66	$746.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.85 / $369.66 / $401.15	Professional		$332.85	$369.66	$401.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $522.79 / $522.79 / $746.86	Professional		$522.79	$522.79	$746.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.02 / $668.44 / $746.86	Facility		$590.02	$668.44	$746.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.34 / $376.03 / $518.91	Professional		$364.34	$376.03	$518.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $530.79 / $784.20 / $1,045.59	Facility		$530.79	$784.20	$1,045.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $634.83 / $821.55 / $1,008.26	Professional		$634.83	$821.55	$1,008.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $746.86	Facility		$523.66	$523.66	$746.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $766.14	Professional		$382.28	$382.28	$766.14
United Facility/Professional Professional Modifier Low / Median / High Price $207.69 / $345.86 / $494.09	Professional		$207.69	$345.86	$494.09