Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.45 / $2,365.25 / $9,291.44	Facility		$619.45	$2,365.25	$9,291.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.68 / $581.46 / $995.27	Professional		$506.68	$581.46	$995.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.50 / $513.11 / $713.70	Professional		$274.50	$513.11	$713.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,945.00 / $6,090.00 / $19,582.00	Facility		$1,945.00	$6,090.00	$19,582.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.93 / $610.22 / $891.75	Professional		$509.93	$610.22	$891.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $549.00 / $741.15 / $905.85	Facility		$549.00	$741.15	$905.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $713.70 / $903.23	Professional		$549.00	$713.70	$903.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $675.90 / $12,571.00	Facility		$675.90	$675.90	$12,571.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.26 / $67.26 / $67.26	Facility	AS	$67.26	$67.26	$67.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.02 / $855.70 / $1,284.31	Professional		$615.02	$855.70	$1,284.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $713.70	Professional		$32.34	$32.34	$713.70
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 $568.29 / $774.43 / $1,208.83	Professional		$568.29	$774.43	$1,208.83