Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $5,495.41	Facility		$645.65	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,548.82	Professional		$602.56	$776.25	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $660.69	Professional		$588.84	$602.56	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,000.00	Professional		$588.84	$691.83	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $1,023.29	Facility		$616.60	$794.33	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,047.13	Professional		$562.34	$891.25	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,659.59	Facility		$1,174.90	$1,174.90	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $4,365.16	Professional		$676.08	$954.99	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,187.76 / $8,511.38	Facility		$741.31	$2,187.76	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,380.38	Professional		$660.69	$851.14	$1,380.38