Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.61 / $1,758.00 / $8,067.26	Facility		$434.61	$1,758.00	$8,067.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.10 / $479.79 / $952.09	Professional		$401.10	$479.79	$952.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.60 / $568.01 / $611.70	Professional		$401.60	$568.01	$611.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.68 / $476.00 / $615.85	Professional		$389.68	$476.00	$615.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.95 / $611.70 / $705.64	Facility		$420.95	$611.70	$705.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.93 / $593.61 / $873.86	Professional		$436.93	$593.61	$873.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $535.01 / $535.01	Facility		$535.01	$535.01	$535.01
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $53.09	Facility	AS	$53.09	$53.09	$53.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.84 / $635.47 / $928.53	Professional		$445.84	$635.47	$928.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $568.01	Professional		$32.34	$32.34	$568.01
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.42 / $620.95 / $925.85	Professional		$453.42	$620.95	$925.85