Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.51 / $2,747.00 / $8,453.82	Facility		$481.51	$2,747.00	$8,453.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.22 / $4,532.62 / $8,453.82	Professional		$440.22	$4,532.62	$8,453.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $656.61 / $656.61 / $656.61	Professional		$656.61	$656.61	$656.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.53 / $570.04 / $657.58	Professional		$427.53	$570.04	$657.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $423.14 / $612.84 / $706.95	Facility		$423.14	$612.84	$706.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.51 / $617.21 / $7,080.64	Professional		$481.51	$617.21	$7,080.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $805.44 / $805.44 / $805.44	Facility		$805.44	$805.44	$805.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.58 / $4,926.10 / $12,424.80	Professional		$584.58	$4,926.10	$12,424.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $316.10 / $5,612.12	Professional		$32.34	$316.10	$5,612.12
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $15,075.00	Facility		$973.00	$4,639.00	$15,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,034.21 / $8,573.36 / $12,540.41	Professional		$6,034.21	$8,573.36	$12,540.41