Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.69 / $559.69 / $1,176.04	Facility		$559.69	$559.69	$1,176.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.99 / $559.69 / $582.08	Professional		$473.99	$559.69	$582.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $823.23 / $823.23 / $882.03	Professional		$823.23	$823.23	$882.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.07 / $1,052.56 / $1,176.04	Facility		$929.07	$1,052.56	$1,176.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.17 / $582.85 / $804.33	Professional		$575.17	$582.85	$804.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $814.01 / $1,234.83 / $1,646.46	Facility		$814.01	$1,234.83	$1,646.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $999.63 / $1,293.64 / $1,587.65	Professional		$999.63	$1,293.64	$1,587.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $694.09 / $1,176.04	Facility		$694.09	$694.09	$1,176.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $694.09 / $1,053.43	Professional		$506.69	$694.09	$1,053.43
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $586.72 / $785.80	Professional		$318.51	$586.72	$785.80