Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.48 / $303.08 / $315.20	Facility		$231.48	$303.08	$315.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.60 / $310.95 / $354.14	Professional		$270.60	$310.95	$354.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $477.63 / $477.63	Professional		$477.63	$477.63	$477.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.43 / $636.84 / $669.32	Facility		$396.43	$636.84	$669.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.86 / $382.56 / $386.54	Professional		$297.86	$382.56	$386.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $477.63 / $891.58 / $1,050.79	Facility		$477.63	$891.58	$1,050.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $636.84 / $796.05 / $1,050.79	Professional		$636.84	$796.05	$1,050.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $831.84	Facility		$397.94	$397.94	$831.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $397.94 / $3,486.50	Professional		$290.50	$397.94	$3,486.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.81 / $405.87 / $507.33	Professional		$332.81	$405.87	$507.33
United Facility/Professional Professional Modifier Low / Median / High Price $211.81 / $317.70 / $489.58	Professional		$211.81	$317.70	$489.58