Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.45 / $361.97 / $376.44	Facility		$276.45	$361.97	$376.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.17 / $400.11 / $499.09	Professional		$323.17	$400.11	$499.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $570.44 / $570.44 / $702.26	Professional		$570.44	$570.44	$702.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.46 / $760.58 / $799.37	Facility		$473.46	$760.58	$799.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $456.96 / $462.16	Professional		$365.42	$456.96	$462.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $570.44 / $1,072.42 / $1,445.10	Facility		$570.44	$1,072.42	$1,445.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $760.58 / $1,026.78 / $1,310.89	Professional		$760.58	$1,026.78	$1,310.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $987.23	Facility		$663.31	$663.31	$987.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $663.31 / $4,137.78	Professional		$484.22	$663.31	$4,137.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $397.47 / $484.73 / $605.91	Professional		$397.47	$484.73	$605.91
United Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $422.20 / $598.11	Professional		$252.96	$422.20	$598.11