Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $2,691.53	Professional		$1,659.59	$1,949.84	$2,691.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $11,220.18	Facility		$5,888.44	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,570.40	Professional		$1,584.89	$1,862.09	$2,570.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,570.40	Facility		$1,479.11	$2,137.96	$2,570.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,187.76 / $2,570.40	Professional		$1,445.44	$2,187.76	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,884.03 / $2,884.03	Facility		$34.67	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $10,232.93	Professional		$1,995.26	$3,235.94	$10,232.93
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 $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,467.37	Professional		$1,659.59	$2,454.71	$3,467.37