Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.04 / $454.37 / $472.54	Facility		$347.04	$454.37	$472.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.67 / $466.19 / $530.91	Professional		$405.67	$466.19	$530.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $716.06 / $811.54 / $811.54	Professional		$716.06	$811.54	$811.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $594.33 / $954.75 / $1,003.44	Facility		$594.33	$954.75	$1,003.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.55 / $573.42 / $581.25	Professional		$446.55	$573.42	$581.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $716.06 / $1,336.65 / $1,575.34	Facility		$716.06	$1,336.65	$1,575.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.75 / $1,193.44 / $1,575.34	Professional		$954.75	$1,193.44	$1,575.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $1,241.01	Facility		$596.58	$596.58	$1,241.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $596.58 / $5,201.45	Professional		$435.50	$596.58	$5,201.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $498.95 / $608.48 / $760.60	Professional		$498.95	$608.48	$760.60
United Facility/Professional Facility Modifier Low / Median / High Price $629.41 / $629.41 / $733.98	Facility		$629.41	$629.41	$733.98
United Facility/Professional Professional Modifier Low / Median / High Price $317.54 / $476.31 / $733.98	Professional		$317.54	$476.31	$733.98