Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $467.74	Facility		$446.68	$446.68	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $794.33	Professional		$407.38	$467.74	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $933.25	Professional		$691.83	$691.83	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $954.99 / $1,000.00	Facility		$870.96	$954.99	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $588.84	Professional		$436.52	$562.34	$588.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $1,659.59	Facility		$707.95	$1,258.93	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,513.56	Professional		$933.25	$1,174.90	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,659.59 / $1,659.59	Facility		$588.84	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $870.96 / $5,011.87	Professional		$426.58	$870.96	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $812.83	Professional		$489.78	$630.96	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $616.60 / $724.44	Facility		$389.05	$616.60	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $724.44	Professional		$316.23	$467.74	$724.44