Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,000.00 / $3,890.45	Facility		$331.13	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $676.08	Professional		$275.42	$363.08	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $316.23 / $323.59	Professional		$302.00	$316.23	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $407.38	Professional		$229.09	$275.42	$407.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $398.11 / $524.81	Facility		$251.19	$398.11	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $489.78	Professional		$295.12	$398.11	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $549.54 / $549.54	Facility		$34.67	$549.54	$549.54
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	54	$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $2,041.74	Professional		$302.00	$478.63	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $588.84	Professional		$263.03	$346.74	$588.84