Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.94 / $685.97 / $713.41	Facility		$523.94	$685.97	$713.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.45 / $760.19 / $915.05	Professional		$612.45	$760.19	$915.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,081.04 / $1,081.04 / $1,287.55	Professional		$1,081.04	$1,081.04	$1,287.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.27 / $1,441.39 / $1,514.90	Facility		$897.27	$1,441.39	$1,514.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.17 / $865.70 / $874.06	Professional		$674.17	$865.70	$874.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,081.04 / $2,032.36 / $2,738.64	Facility		$1,081.04	$2,032.36	$2,738.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,441.39 / $1,945.88 / $2,403.42	Professional		$1,441.39	$1,945.88	$2,403.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,862.15	Facility		$1,200.11	$1,200.11	$1,862.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.09 / $1,200.11 / $7,804.83	Professional		$876.09	$1,200.11	$7,804.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $753.27 / $918.63 / $1,148.28	Professional		$753.27	$918.63	$1,148.28
United Facility/Professional Professional Modifier Low / Median / High Price $479.40 / $770.63 / $1,108.09	Professional		$479.40	$770.63	$1,108.09