Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.77 / $1,150.42 / $7,497.16	Facility		$658.77	$1,150.42	$7,497.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.50 / $766.46 / $1,295.35	Professional		$640.50	$766.46	$1,295.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,002.65 / $1,002.65 / $1,002.65	Professional		$1,002.65	$1,002.65	$1,002.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.86 / $739.55 / $1,052.07	Professional		$602.86	$739.55	$1,052.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $710.42 / $1,017.18 / $1,173.40	Facility		$710.42	$1,017.18	$1,173.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $726.56 / $1,010.97 / $1,453.12	Professional		$726.56	$1,010.97	$1,453.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $898.71 / $898.71 / $900.42	Facility		$898.71	$898.71	$900.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.52 / $1,027.00 / $1,468.93	Professional		$744.52	$1,027.00	$1,468.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $944.53	Professional		$32.34	$32.34	$944.53
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.41 / $945.14 / $1,425.36	Professional		$674.41	$945.14	$1,425.36