Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,412.54 / $2,818.38	Facility		$741.31	$1,412.54	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,548.82	Professional		$676.08	$851.14	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $758.58 / $977.24	Professional		$338.84	$758.58	$977.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $8,511.38	Facility		$1,995.26	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $977.24	Professional		$588.84	$691.83	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $891.25 / $1,047.13	Facility		$724.44	$891.25	$1,047.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,202.26	Professional		$645.65	$977.24	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,862.09	Facility		$1,000.00	$1,348.96	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $4,365.16	Professional		$707.95	$1,023.29	$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 $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,412.54	Professional		$676.08	$870.96	$1,412.54