Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.32 / $428.32 / $899.99	Facility		$428.32	$428.32	$899.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.14 / $436.88 / $479.91	Professional		$427.14	$436.88	$479.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $674.99 / $674.99 / $674.99	Professional		$674.99	$674.99	$674.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.99 / $805.49 / $899.99	Facility		$710.99	$805.49	$899.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.91 / $520.50 / $710.16	Professional		$450.91	$520.50	$710.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.99 / $989.99 / $1,294.50	Facility		$674.99	$989.99	$1,294.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $764.99 / $989.99 / $1,214.99	Professional		$764.99	$989.99	$1,214.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.20 / $582.20 / $899.99	Facility		$582.20	$582.20	$899.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.01 / $582.20 / $923.23	Professional		$425.01	$582.20	$923.23
United Facility/Professional Facility Modifier Low / Median / High Price $500.36 / $500.36 / $500.36	Facility		$500.36	$500.36	$500.36
United Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $449.00 / $648.70	Professional		$287.02	$449.00	$648.70