Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.71 / $1,034.13 / $6,222.17	Facility		$675.71	$1,034.13	$6,222.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.36 / $857.14 / $1,118.07	Professional		$705.36	$857.14	$1,118.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,354.79 / $1,354.79 / $1,354.79	Professional		$1,354.79	$1,354.79	$1,354.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.78 / $840.44 / $1,180.18	Professional		$680.78	$840.44	$1,180.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.55 / $929.74 / $1,085.44	Facility		$763.55	$929.74	$1,085.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $748.58 / $1,055.50 / $1,806.38	Professional		$748.58	$1,055.50	$1,806.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.81 / $1,377.39 / $1,829.00	Facility		$748.81	$1,377.39	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.84 / $1,007.25 / $1,746.56	Professional		$764.84	$1,007.25	$1,746.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,174.15	Professional		$32.34	$32.34	$1,174.15
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $849.97 / $1,064.55 / $1,609.27	Professional		$849.97	$1,064.55	$1,609.27