Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $794.33	Professional		$416.87	$467.74	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,258.93	Professional		$741.31	$741.31	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,122.02	Facility		$489.78	$891.25	$1,122.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $891.25	Professional		$426.58	$489.78	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,348.96	Facility		$912.01	$1,148.15	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $891.25	Facility		$512.86	$512.86	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $758.58	Professional		$371.54	$371.54	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $691.83	Facility		$309.03	$562.34	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $616.60	Professional		$269.15	$426.58	$616.60