Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.86 / $278.86 / $585.94	Facility		$278.86	$278.86	$585.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.86 / $286.11 / $325.83	Professional		$278.86	$286.11	$325.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.16 / $439.46 / $439.46	Professional		$410.16	$439.46	$439.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.89 / $524.41 / $585.94	Facility		$462.89	$524.41	$585.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.83 / $355.30 / $479.65	Professional		$285.83	$355.30	$479.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.46 / $644.53 / $878.91	Facility		$439.46	$644.53	$878.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $644.53 / $791.02	Professional		$498.05	$644.53	$791.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $585.94	Facility		$379.03	$379.03	$585.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $601.05	Professional		$276.69	$276.69	$601.05
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $292.32 / $440.44	Professional		$194.88	$292.32	$440.44