Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.01 / $328.46 / $341.60	Facility		$217.01	$328.46	$341.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $299.01 / $341.60	Professional		$284.13	$299.01	$341.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.77 / $517.64 / $517.64	Professional		$447.77	$517.64	$517.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.64 / $690.18 / $725.38	Facility		$429.64	$690.18	$725.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $358.64 / $412.43	Professional		$291.00	$358.64	$412.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $517.64 / $865.68 / $1,000.76	Facility		$517.64	$865.68	$1,000.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $655.67 / $828.22 / $1,138.80	Professional		$655.67	$828.22	$1,138.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $811.22	Facility		$380.63	$380.63	$811.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $3,400.08	Professional		$277.86	$380.63	$3,400.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $354.95 / $432.87 / $541.08	Professional		$354.95	$432.87	$541.08
United Facility/Professional Professional Modifier Low / Median / High Price $229.54 / $344.32 / $458.97	Professional		$229.54	$344.32	$458.97