Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.62 / $445.62 / $936.35	Facility		$445.62	$445.62	$936.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.44 / $445.62 / $463.44	Professional		$376.44	$445.62	$463.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $655.45 / $655.45 / $702.26	Professional		$655.45	$655.45	$702.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.72 / $838.03 / $936.35	Facility		$739.72	$838.03	$936.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.77 / $462.16 / $637.78	Professional		$456.77	$462.16	$637.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.49 / $983.17 / $1,310.89	Facility		$646.49	$983.17	$1,310.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $795.90 / $1,029.99 / $1,264.07	Professional		$795.90	$1,029.99	$1,264.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $936.35	Facility		$663.31	$663.31	$936.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $663.31 / $943.16	Professional		$484.22	$663.31	$943.16
United Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $467.13 / $625.63	Professional		$252.96	$467.13	$625.63