Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,570.88 / $10,232.93	Facility		$660.69	$4,570.88	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $2,691.53 / $9,549.93	Professional		$467.74	$2,691.53	$9,549.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $7,244.36 / $13,489.63	Professional		$602.56	$7,244.36	$13,489.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $13,182.57	Facility		$3,981.07	$6,760.83	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $707.95	Professional		$501.19	$588.84	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $630.96 / $812.83	Facility		$457.09	$630.96	$812.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $776.25	Professional		$426.58	$630.96	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $870.96 / $870.96	Facility		$34.67	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $8,128.31 / $28,840.32	Professional		$630.96	$8,128.31	$28,840.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $5,011.87	Professional		$32.36	$33.11	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $15,135.61	Facility		$977.24	$5,011.87	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $4,466.84 / $11,481.54	Professional		$537.03	$4,466.84	$11,481.54