Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $316.23	Facility		$302.00	$302.00	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $537.03	Professional		$269.15	$338.84	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $645.65	Professional		$467.74	$512.86	$645.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $676.08	Facility		$588.84	$645.65	$676.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $389.05	Professional		$295.12	$338.84	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $851.14 / $1,122.02	Facility		$478.63	$851.14	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,023.29	Professional		$630.96	$794.33	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,071.52 / $1,071.52	Facility		$457.09	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $3,235.94	Professional		$338.84	$562.34	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $549.54	Professional		$331.13	$426.58	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $467.74	Facility		$281.84	$398.11	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $467.74	Professional		$208.93	$316.23	$467.74