Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,076.83 / $7,715.46	Facility		$787.00	$1,076.83	$7,715.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $752.19 / $948.80 / $1,419.32	Professional		$752.19	$948.80	$1,419.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $978.94 / $978.94 / $978.94	Professional		$978.94	$978.94	$978.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.12 / $904.97 / $1,234.46	Professional		$740.12	$904.97	$1,234.46
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $103.61 / $126.69 / $172.82	Professional	AS	$103.61	$126.69	$172.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $797.39 / $1,076.48 / $1,229.66	Facility		$797.39	$1,076.48	$1,229.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $956.91 / $1,125.78 / $1,615.25	Professional		$956.91	$1,125.78	$1,615.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.20 / $1,467.20 / $4,081.00	Facility		$1,467.20	$1,467.20	$4,081.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.72 / $146.72 / $146.72	Facility	AS	$146.72	$146.72	$146.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.73 / $1,067.48 / $2,014.81	Professional		$814.73	$1,067.48	$2,014.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,272.61	Professional		$32.34	$32.34	$1,272.61
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $924.75 / $1,155.58 / $2,047.62	Professional		$924.75	$1,155.58	$2,047.62