Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.93 / $406.16 / $422.41	Facility		$300.93	$406.16	$422.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.93 / $422.41 / $504.84	Professional		$300.93	$422.41	$504.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $640.08 / $640.08 / $711.63	Professional		$640.08	$640.08	$711.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.27 / $853.44 / $896.97	Facility		$531.27	$853.44	$896.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.17 / $481.70 / $510.00	Professional		$399.17	$481.70	$510.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $640.08 / $1,203.34 / $1,518.14	Facility		$640.08	$1,203.34	$1,518.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $810.77 / $1,091.17 / $1,408.18	Professional		$810.77	$1,091.17	$1,408.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.15 / $501.15 / $1,029.42	Facility		$501.15	$501.15	$1,029.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $501.15 / $4,314.62	Professional		$365.84	$501.15	$4,314.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $374.07 / $474.43 / $570.23	Professional		$374.07	$474.43	$570.23
United Facility/Professional Professional Modifier Low / Median / High Price $283.85 / $437.65 / $606.08	Professional		$283.85	$437.65	$606.08