Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $467.74	Facility		$457.09	$457.09	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $812.83	Professional		$416.87	$562.34	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $891.25	Professional		$478.63	$776.25	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $977.24 / $1,023.29	Facility		$870.96	$977.24	$1,023.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $602.56	Professional		$446.68	$575.44	$602.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,288.25 / $1,659.59	Facility		$724.44	$1,288.25	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,548.82	Professional		$954.99	$1,202.26	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,659.59 / $1,659.59	Facility		$691.83	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $5,011.87	Professional		$501.19	$891.25	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $831.76	Professional		$501.19	$645.65	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $630.96 / $741.31	Facility		$426.58	$630.96	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $741.31	Professional		$316.23	$512.86	$741.31