Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.66 / $932.73 / $5,320.00	Facility		$697.66	$932.73	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.98 / $867.87 / $1,263.20	Professional		$727.98	$867.87	$1,263.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,062.64 / $1,062.64 / $1,062.64	Professional		$1,062.64	$1,062.64	$1,062.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $641.58 / $777.44 / $1,123.53	Professional		$641.58	$777.44	$1,123.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $789.04 / $960.77 / $1,121.68	Facility		$789.04	$960.77	$1,121.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $773.57 / $1,090.73 / $1,810.96	Professional		$773.57	$1,090.73	$1,810.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $623.21 / $1,423.37 / $1,587.00	Facility		$623.21	$1,423.37	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $738.81 / $980.00 / $1,680.98	Professional		$738.81	$980.00	$1,680.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,177.11	Professional		$32.34	$32.34	$1,177.11
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 $781.11 / $999.09 / $1,671.28	Professional		$781.11	$999.09	$1,671.28