Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.91 / $1,656.44 / $8,611.15	Facility		$610.91	$1,656.44	$8,611.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.59 / $761.72 / $1,294.31	Professional		$522.59	$761.72	$1,294.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $655.33 / $655.33 / $777.52	Professional		$655.33	$655.33	$777.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.55 / $490.19 / $958.67	Professional		$395.55	$490.19	$958.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $547.30 / $777.52 / $896.91	Facility		$547.30	$777.52	$896.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $555.37 / $794.12 / $1,377.31	Professional		$555.37	$794.12	$1,377.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $979.51 / $1,021.88 / $1,021.88	Facility		$979.51	$1,021.88	$1,021.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.19 / $102.19 / $102.19	Facility	AS	$102.19	$102.19	$102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.06 / $970.36 / $1,683.05	Professional		$667.06	$970.36	$1,683.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,162.67	Professional		$32.34	$32.34	$1,162.67
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.66 / $1,164.55 / $1,929.96	Professional		$790.66	$1,164.55	$1,929.96