Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.37 / $929.16 / $963.58	Facility		$872.37	$929.16	$963.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.38 / $929.16 / $996.99	Professional		$828.38	$929.16	$996.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,199.30 / $1,199.30 / $1,332.11	Professional		$1,199.30	$1,199.30	$1,332.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.33 / $1,807.78 / $1,899.98	Facility		$1,125.33	$1,807.78	$1,899.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $1,041.95 / $1,124.88	Professional		$800.08	$1,041.95	$1,124.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.84 / $2,486.61 / $3,093.98	Facility		$1,355.84	$2,486.61	$3,093.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,717.39 / $2,220.19 / $2,982.84	Professional		$1,717.39	$2,220.19	$2,982.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $2,172.02	Facility		$1,037.25	$1,037.25	$2,172.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $9,103.58	Professional		$757.19	$1,037.25	$9,103.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,093.43 / $1,333.46 / $1,666.82	Professional		$1,093.43	$1,333.46	$1,666.82
United Facility/Professional Professional Modifier Low / Median / High Price $601.25 / $886.10 / $1,246.24	Professional		$601.25	$886.10	$1,246.24