Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.19 / $1,075.98 / $8,229.00	Facility		$561.19	$1,075.98	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.19 / $654.66 / $1,075.98	Professional		$561.19	$654.66	$1,075.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $873.35 / $873.35 / $873.35	Professional		$873.35	$873.35	$873.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.19 / $659.85 / $1,018.47	Professional		$540.19	$659.85	$1,018.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $609.04 / $873.35 / $1,007.48	Facility		$609.04	$873.35	$1,007.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $623.82 / $862.20 / $1,247.64	Professional		$623.82	$862.20	$1,247.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.39 / $770.39 / $1,059.50	Facility		$770.39	$770.39	$1,059.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.88 / $898.87 / $1,369.13	Professional		$641.88	$898.87	$1,369.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $810.97	Professional		$32.34	$32.34	$810.97
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.46 / $851.93 / $1,258.65	Professional		$604.46	$851.93	$1,258.65