Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,818.38 / $14,125.38	Facility		$602.56	$2,818.38	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,380.38 / $2,951.21	Professional		$426.58	$1,380.38	$2,951.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $436.52	Professional		$177.83	$338.84	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,715.19 / $11,220.18	Facility		$6,760.83	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,659.59 / $3,311.31	Professional		$389.05	$1,659.59	$3,311.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $575.44	Facility		$346.74	$489.78	$575.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $588.84	Professional		$389.05	$501.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $660.69 / $660.69	Facility		$34.67	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,630.27 / $16,218.10	Professional		$501.19	$2,630.27	$16,218.10
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 $977.24 / $5,011.87 / $11,748.98	Facility		$977.24	$5,011.87	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,318.26 / $3,890.45	Professional		$467.74	$1,318.26	$3,890.45