Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,778.28 / $8,511.38	Facility		$120.23	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $512.86 / $831.76	Professional		$107.15	$512.86	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $549.54 / $870.96	Professional		$109.65	$549.54	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $158.49 / $186.21	Facility		$112.20	$158.49	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $190.55	Professional		$112.20	$162.18	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $213.80	Facility		$34.67	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $933.25 / $3,467.37	Professional		$154.88	$933.25	$3,467.37
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 $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $524.81 / $1,258.93	Professional		$120.23	$524.81	$1,258.93