Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.18 / $1,493.92 / $8,229.00	Facility		$332.18	$1,493.92	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.02 / $1,266.29 / $2,236.42	Professional		$284.02	$1,266.29	$2,236.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.39 / $211.39 / $211.39	Professional		$211.39	$211.39	$211.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.02 / $1,040.94 / $1,849.37	Professional		$253.02	$1,040.94	$1,849.37
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $379.54 / $1,561.41 / $2,774.05	Professional	50	$379.54	$1,561.41	$2,774.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.49 / $410.69 / $483.17	Facility		$283.49	$410.69	$483.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $301.98 / $437.87 / $1,980.34	Professional		$301.98	$437.87	$1,980.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.64 / $555.64 / $555.64	Facility		$555.64	$555.64	$555.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.50 / $1,403.27 / $2,889.49	Professional		$366.50	$1,403.27	$2,889.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,252.31	Professional		$32.34	$32.34	$1,252.31
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,853.00 / $9,550.00	Facility		$739.00	$3,853.00	$9,550.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,468.40 / $2,146.14 / $2,972.99	Professional		$1,468.40	$2,146.14	$2,972.99