Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.04 / $2,569.07 / $8,949.48	Facility		$585.04	$2,569.07	$8,949.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $724.30 / $1,078.14	Professional		$526.41	$724.30	$1,078.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.18 / $531.85 / $744.59	Professional		$501.18	$531.85	$744.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.73 / $477.09 / $881.74	Professional		$354.73	$477.09	$881.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $523.16 / $744.59 / $858.93	Facility		$523.16	$744.59	$858.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $531.85 / $745.92 / $1,196.66	Professional		$531.85	$745.92	$1,196.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.36 / $978.60 / $978.60	Facility		$736.36	$978.60	$978.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.86 / $97.86 / $97.86	Facility	AS	$97.86	$97.86	$97.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.94 / $919.46 / $1,515.84	Professional		$638.94	$919.46	$1,515.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $906.41	Professional		$32.34	$32.34	$906.41
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 $717.47 / $1,014.48 / $1,539.19	Professional		$717.47	$1,014.48	$1,539.19