Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,862.09 / $2,398.83	Professional		$660.69	$1,862.09	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $549.54	Professional		$537.03	$537.03	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $10,232.93 / $10,232.93	Facility		$8,317.64	$10,232.93	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $691.83	Professional		$426.58	$501.19	$691.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $29,512.09 / $51,286.14	Facility		$2,187.76	$29,512.09	$51,286.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $28,840.32 / $50,118.72	Professional		$1,862.09	$28,840.32	$50,118.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $1,995.26	Professional		$44.67	$44.67	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,479.11 / $3,890.45	Professional		$691.83	$1,479.11	$3,890.45