Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $1,758.00 / $8,229.00	Facility		$787.00	$1,758.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.31 / $1,189.43 / $1,948.46	Professional		$1,021.31	$1,189.43	$1,948.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,585.71 / $1,585.71 / $1,585.71	Professional		$1,585.71	$1,585.71	$1,585.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $4,010.00 / $9,135.00	Facility		$1,643.00	$4,010.00	$9,135.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.85 / $1,186.32 / $1,610.12	Professional		$980.85	$1,186.32	$1,610.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,100.47 / $1,585.71 / $1,829.23	Facility		$1,100.47	$1,585.71	$1,829.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,245.92 / $1,585.71 / $2,265.30	Professional		$1,245.92	$1,585.71	$2,265.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,355.09 / $1,388.99 / $8,380.00	Facility		$1,355.09	$1,388.99	$8,380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,161.56 / $1,630.18 / $2,312.82	Professional		$1,161.56	$1,630.18	$2,312.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,472.45	Professional		$32.34	$32.34	$1,472.45
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 $1,083.16 / $1,543.79 / $2,327.28	Professional		$1,083.16	$1,543.79	$2,327.28