Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,287.75 / $8,229.00	Facility		$860.00	$1,287.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.30 / $1,140.67 / $1,461.02	Professional		$991.30	$1,140.67	$1,461.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,223.84 / $1,223.84 / $1,223.84	Professional		$1,223.84	$1,223.84	$1,223.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.82 / $1,159.23 / $1,598.60	Professional		$965.82	$1,159.23	$1,598.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $966.28 / $1,317.99 / $1,520.40	Facility		$966.28	$1,317.99	$1,520.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,012.64 / $1,317.99 / $1,882.84	Professional		$1,012.64	$1,317.99	$1,882.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,159.48 / $1,159.48 / $1,536.67	Facility		$1,159.48	$1,159.48	$1,536.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,214.24 / $1,464.31 / $2,330.58	Professional		$1,214.24	$1,464.31	$2,330.58
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,116.85 / $1,623.73 / $2,146.48	Professional		$1,116.85	$1,623.73	$2,146.48