Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.53 / $4,564.24 / $9,459.91	Facility		$564.53	$4,564.24	$9,459.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.30 / $652.42 / $2,671.00	Professional		$501.30	$652.42	$2,671.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.12 / $511.66 / $741.53	Professional		$346.12	$511.66	$741.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,526.00 / $6,559.00 / $12,646.00	Facility		$2,526.00	$6,559.00	$12,646.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.30 / $598.98 / $836.21	Professional		$494.30	$598.98	$836.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.63 / $677.20 / $827.69	Facility		$501.63	$677.20	$827.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.63 / $652.12 / $802.61	Professional		$501.63	$652.12	$802.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $618.99 / $618.99 / $8,380.00	Facility		$618.99	$618.99	$8,380.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $61.52	Facility	AS	$61.52	$61.52	$61.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.54 / $832.20 / $1,209.65	Professional		$536.54	$832.20	$1,209.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $652.12	Professional		$32.34	$32.34	$652.12
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 $521.52 / $728.26 / $1,094.67	Professional		$521.52	$728.26	$1,094.67