Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $8,128.31	Facility		$851.14	$1,778.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $2,041.74	Professional		$851.14	$1,023.29	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,801.89 / $8,511.38	Facility		$2,290.87	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,288.25	Professional		$741.31	$891.25	$1,288.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,548.82	Facility		$870.96	$1,202.26	$1,548.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,479.11	Professional		$870.96	$1,174.90	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $1,862.09	Facility		$1,288.25	$1,621.81	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $6,760.83	Professional		$977.24	$1,621.81	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,862.09	Professional		$812.83	$1,096.48	$1,862.09