Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.74 / $412.74 / $833.93	Facility		$412.74	$412.74	$833.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.87 / $428.62 / $481.47	Professional		$396.87	$428.62	$481.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $469.09 / $583.75 / $833.93	Professional		$469.09	$583.75	$833.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.80 / $746.37 / $833.93	Facility		$658.80	$746.37	$833.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.82 / $537.21 / $741.34	Professional		$406.82	$537.21	$741.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $692.72 / $917.32 / $1,250.90	Facility		$692.72	$917.32	$1,250.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $708.84 / $917.32 / $1,125.81	Professional		$708.84	$917.32	$1,125.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $833.93	Facility		$544.74	$544.74	$833.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $544.74 / $855.44	Professional		$397.66	$544.74	$855.44
United Facility/Professional Professional Modifier Low / Median / High Price $266.62 / $399.93 / $601.84	Professional		$266.62	$399.93	$601.84