Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.39 / $474.72 / $492.31	Facility		$291.39	$474.72	$492.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.37 / $447.91 / $492.31	Professional		$396.37	$447.91	$492.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $469.09 / $692.72 / $785.09	Professional		$469.09	$692.72	$785.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.96 / $923.63 / $970.74	Facility		$574.96	$923.63	$970.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.82 / $406.82 / $537.21	Professional		$406.82	$406.82	$537.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $692.72 / $1,167.50 / $1,339.26	Facility		$692.72	$1,167.50	$1,339.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $877.45 / $1,108.35 / $1,523.99	Professional		$877.45	$1,108.35	$1,523.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $1,082.38	Facility		$544.74	$544.74	$1,082.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.66 / $544.74 / $4,349.09	Professional		$397.66	$544.74	$4,349.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $482.68 / $588.64 / $735.80	Professional		$482.68	$588.64	$735.80
United Facility/Professional Professional Modifier Low / Median / High Price $301.22 / $416.04 / $608.90	Professional		$301.22	$416.04	$608.90