Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.17 / $621.14 / $645.98	Facility		$426.17	$621.14	$645.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.55 / $630.16 / $691.94	Professional		$554.55	$630.16	$691.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $978.87 / $978.87 / $978.87	Professional		$978.87	$978.87	$978.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.46 / $1,305.16 / $1,371.72	Facility		$812.46	$1,305.16	$1,371.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.44 / $696.50 / $779.93	Professional		$610.44	$696.50	$779.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $978.87 / $1,817.42 / $2,090.62	Facility		$978.87	$1,817.42	$2,090.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,239.90 / $1,622.70 / $2,153.51	Professional		$1,239.90	$1,622.70	$2,153.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $1,529.48	Facility		$724.63	$724.63	$1,529.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $724.63 / $6,225.90	Professional		$528.98	$724.63	$6,225.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $671.25 / $818.60 / $1,023.25	Professional		$671.25	$818.60	$1,023.25
United Facility/Professional Professional Modifier Low / Median / High Price $434.08 / $651.13 / $891.52	Professional		$434.08	$651.13	$891.52