Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.45 / $1,590.78 / $8,229.00	Facility		$415.45	$1,590.78	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.87 / $1,590.78 / $2,779.39	Professional		$443.87	$1,590.78	$2,779.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.26 / $275.26 / $275.26	Professional		$275.26	$275.26	$275.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.61 / $1,728.43 / $2,827.34	Professional		$416.61	$1,728.43	$2,827.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $401.10 / $550.52 / $635.08	Facility		$401.10	$550.52	$635.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $430.24 / $629.16 / $2,183.96	Professional		$430.24	$629.16	$2,183.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.54 / $723.54 / $723.54	Facility		$723.54	$723.54	$723.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.90 / $1,967.57 / $4,244.37	Professional		$537.90	$1,967.57	$4,244.37
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 $973.00 / $6,818.00 / $15,075.00	Facility		$973.00	$6,818.00	$15,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,927.94 / $3,439.35 / $4,048.68	Professional		$1,927.94	$3,439.35	$4,048.68