Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.54 / $325.39 / $338.42	Facility		$248.54	$325.39	$338.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.52 / $362.70 / $413.74	Professional		$290.52	$362.70	$413.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $581.17 / $581.17 / $581.17	Professional		$581.17	$581.17	$581.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.63 / $683.74 / $718.61	Facility		$425.63	$683.74	$718.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $410.67 / $414.81	Professional		$319.80	$410.67	$414.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $964.07 / $1,241.95	Facility		$512.80	$964.07	$1,241.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $659.79 / $892.65 / $1,128.17	Professional		$659.79	$892.65	$1,128.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $887.92	Facility		$427.25	$427.25	$887.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $3,721.52	Professional		$311.89	$427.25	$3,721.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.33 / $435.77 / $544.71	Professional		$357.33	$435.77	$544.71
United Facility/Professional Professional Modifier Low / Median / High Price $227.41 / $349.66 / $525.65	Professional		$227.41	$349.66	$525.65