Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.90 / $1,798.99 / $3,472.15	Facility		$221.90	$1,798.99	$3,472.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $544.51 / $3,037.70	Professional		$217.50	$544.51	$3,037.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.25 / $262.25 / $262.25	Professional		$262.25	$262.25	$262.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.33 / $1,759.02 / $2,710.51	Professional		$200.33	$1,759.02	$2,710.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.76 / $282.42 / $325.79	Facility		$205.76	$282.42	$325.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $231.99 / $294.01 / $2,505.48	Professional		$231.99	$294.01	$2,505.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.18 / $371.18 / $371.18	Facility		$371.18	$371.18	$371.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.64 / $1,837.56 / $4,937.75	Professional		$278.64	$1,837.56	$4,937.75
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 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,333.11 / $3,778.04 / $4,586.80	Professional		$2,333.11	$3,778.04	$4,586.80