Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.43 / $448.00 / $465.91	Facility		$339.43	$448.00	$465.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.98 / $455.96 / $536.41	Professional		$399.98	$455.96	$536.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $700.35 / $706.01 / $706.01	Professional		$700.35	$706.01	$706.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.99 / $941.35 / $989.36	Facility		$585.99	$941.35	$989.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.29 / $560.84 / $566.70	Professional		$440.29	$560.84	$566.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $706.01 / $1,307.32 / $1,678.18	Facility		$706.01	$1,307.32	$1,678.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $894.28 / $1,167.25 / $1,553.23	Professional		$894.28	$1,167.25	$1,553.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $1,186.01	Facility		$583.49	$583.49	$1,186.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $583.49 / $4,970.91	Professional		$425.95	$583.49	$4,970.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $491.95 / $599.95 / $749.93	Professional		$491.95	$599.95	$749.93
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $313.08 / $469.63 / $717.88	Professional		$313.08	$469.63	$717.88