Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,924.00 / $8,229.00	Facility		$787.00	$1,924.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.18 / $1,188.75 / $1,530.42	Professional		$1,022.18	$1,188.75	$1,530.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,562.48 / $1,562.48 / $1,562.48	Professional		$1,562.48	$1,562.48	$1,562.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.93 / $1,144.74 / $1,619.83	Professional		$930.93	$1,144.74	$1,619.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,098.83 / $1,585.12 / $1,828.56	Facility		$1,098.83	$1,585.12	$1,828.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,106.75 / $1,585.12 / $2,264.46	Professional		$1,106.75	$1,585.12	$2,264.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,387.75 / $1,387.75 / $1,387.75	Facility		$1,387.75	$1,387.75	$1,387.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.74 / $1,629.24 / $2,383.48	Professional		$1,183.74	$1,629.24	$2,383.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,471.90	Professional		$32.34	$32.34	$1,471.90
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.98 / $1,449.20 / $2,302.38	Professional		$1,102.98	$1,449.20	$2,302.38