Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $2,118.15 / $7,702.00	Facility		$991.00	$2,118.15	$7,702.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,679.51 / $1,915.73 / $2,237.56	Professional		$1,679.51	$1,915.73	$2,237.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,829.31 / $1,829.31 / $1,829.31	Professional		$1,829.31	$1,829.31	$1,829.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $18,409.41 / $55,575.98	Facility		$8,584.00	$18,409.41	$55,575.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,422.10 / $1,673.07 / $2,653.91	Professional		$1,422.10	$1,673.07	$2,653.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,794.79 / $2,618.80 / $3,109.83	Facility		$1,794.79	$2,618.80	$3,109.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,751.32 / $2,695.83 / $3,194.29	Professional		$1,751.32	$2,695.83	$3,194.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,368.37 / $2,368.37 / $2,368.37	Facility		$2,368.37	$2,368.37	$2,368.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,919.44 / $2,643.90 / $4,036.26	Professional		$1,919.44	$2,643.90	$4,036.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,503.27	Professional		$32.34	$32.34	$2,503.27
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,800.83 / $2,513.78 / $3,874.06	Professional		$1,800.83	$2,513.78	$3,874.06