Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,778.28 / $8,511.38	Facility		$616.60	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,071.52	Professional		$524.81	$645.65	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $1,348.96	Professional		$186.21	$186.21	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,801.89 / $8,511.38	Facility		$2,344.23	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $933.25	Professional		$501.19	$616.60	$933.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $1,023.29	Facility		$562.34	$776.25	$1,023.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $954.99	Professional		$524.81	$776.25	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,862.09	Facility		$1,071.52	$1,071.52	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $4,265.80	Professional		$645.65	$1,000.00	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,202.26	Professional		$537.03	$724.44	$1,202.26