Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.82 / $4,019.12 / $11,985.57	Facility		$1,207.82	$4,019.12	$11,985.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.74 / $1,434.31 / $2,581.56	Professional		$1,239.74	$1,434.31	$2,581.56
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $185.92 / $288.87 / $946.33	Professional	AS	$185.92	$288.87	$946.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,234.02 / $1,333.91 / $2,000.87	Professional		$1,234.02	$1,333.91	$2,000.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $11,253.00 / $19,071.00	Facility		$8,584.00	$11,253.00	$19,071.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,221.86 / $1,437.50 / $1,936.14	Professional		$1,221.86	$1,437.50	$1,936.14
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $171.06 / $201.25 / $271.05	Professional	AS	$171.06	$201.25	$271.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,333.91 / $1,800.78 / $2,200.94	Facility		$1,333.91	$1,800.78	$2,200.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,333.91 / $1,734.08 / $2,134.26	Professional		$1,333.91	$1,734.08	$2,134.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,636.45 / $1,636.45 / $1,742.95	Facility		$1,636.45	$1,636.45	$1,742.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $161.91 / $161.91 / $161.91	Facility	AS	$161.91	$161.91	$161.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,454.63 / $2,003.18 / $2,788.26	Professional		$1,454.63	$2,003.18	$2,788.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,734.08	Professional		$32.34	$32.34	$1,734.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $35,462.00	Facility		$1,168.00	$6,186.00	$35,462.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,357.23 / $1,872.80 / $2,888.58	Professional		$1,357.23	$1,872.80	$2,888.58