Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $13,803.84	Facility		$977.24	$2,818.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,137.96	Professional		$954.99	$1,230.27	$2,137.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,238.72	Professional		$1,148.15	$1,148.15	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,606.93 / $13,182.57	Facility		$3,801.89	$6,606.93	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,348.96	Professional		$776.25	$912.01	$1,348.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,479.11	Facility		$912.01	$1,258.93	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,513.56	Professional		$1,023.29	$1,288.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,311.31	Facility		$1,698.24	$1,698.24	$3,311.31
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	52	$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $5,011.87	Professional		$977.24	$1,513.56	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,862.09	Professional		$831.76	$1,174.90	$1,862.09