Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $426.58	Facility		$407.38	$407.38	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $724.44	Professional		$363.08	$446.68	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $776.25	Professional		$426.58	$660.69	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $870.96 / $912.01	Facility		$776.25	$870.96	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $524.81	Professional		$398.11	$478.63	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,479.11	Facility		$645.65	$1,148.15	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,380.38	Professional		$851.14	$1,071.52	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,445.44 / $1,445.44	Facility		$501.19	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $4,265.80	Professional		$363.08	$724.44	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $616.60	Professional		$371.54	$478.63	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $630.96	Facility		$524.81	$537.03	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $616.60	Professional		$281.84	$426.58	$616.60