Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $5,370.32 / $12,882.50	Facility		$467.74	$5,370.32	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $3,890.45 / $7,244.36	Professional		$323.59	$3,890.45	$7,244.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $524.81	Professional		$323.59	$323.59	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,677.35 / $7,762.47	Facility		$2,570.40	$4,677.35	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,981.07 / $5,495.41	Professional		$269.15	$3,981.07	$5,495.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $389.05 / $467.74	Facility		$275.42	$389.05	$467.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $478.63	Professional		$316.23	$407.38	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $524.81 / $549.54	Facility		$34.67	$524.81	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $6,606.93 / $20,417.38	Professional		$371.54	$6,606.93	$20,417.38
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 $1,174.90 / $6,760.83 / $15,488.17	Facility		$1,174.90	$6,760.83	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $3,467.37 / $9,332.54	Professional		$363.08	$3,467.37	$9,332.54