Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.56 / $1,486.00 / $5,320.00	Facility		$340.56	$1,486.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $842.64 / $2,514.91	Professional		$318.95	$842.64	$2,514.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.31 / $320.31 / $320.31	Professional		$320.31	$320.31	$320.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.24 / $540.95 / $2,227.44	Professional		$233.24	$540.95	$2,227.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.04 / $421.06 / $495.36	Facility		$293.04	$421.06	$495.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.27 / $448.92 / $2,253.21	Professional		$355.27	$448.92	$2,253.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.29 / $569.66 / $569.66	Facility		$470.29	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.06 / $1,554.40 / $3,472.44	Professional		$371.06	$1,554.40	$3,472.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,706.39	Professional		$32.34	$32.34	$1,706.39
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,772.01 / $2,805.47 / $3,626.59	Professional		$1,772.01	$2,805.47	$3,626.59