Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.78 / $2,747.00 / $9,128.46	Facility		$518.78	$2,747.00	$9,128.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.19 / $657.42 / $1,040.51	Professional		$599.19	$657.42	$1,040.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $602.39 / $602.39 / $602.39	Professional		$602.39	$602.39	$602.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,014.00 / $8,800.00	Facility		$2,088.00	$4,014.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $514.36 / $818.41	Professional		$424.47	$514.36	$818.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.39 / $843.35 / $993.94	Facility		$602.39	$843.35	$993.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.39 / $783.11 / $993.94	Professional		$602.39	$783.11	$993.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.01 / $761.67 / $761.67	Facility		$524.01	$761.67	$761.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.28 / $805.18 / $1,790.04	Professional		$533.28	$805.18	$1,790.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $3,086.00 / $6,486.14	Facility		$599.00	$3,086.00	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $532.39 / $724.67 / $1,211.27	Professional		$532.39	$724.67	$1,211.27