Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,137.96 / $8,128.31	Facility		$338.84	$2,137.96	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $588.84 / $3,388.44	Professional		$229.09	$588.84	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $363.08	Professional		$173.78	$190.55	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $11,220.18	Facility		$8,912.51	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,949.84 / $2,884.03	Professional		$229.09	$1,949.84	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $323.59	Facility		$194.98	$275.42	$323.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $331.13	Professional		$218.78	$281.84	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $371.54 / $371.54	Facility		$34.67	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $3,162.28 / $11,481.54	Professional		$281.84	$3,162.28	$11,481.54
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 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,584.89 / $4,466.84	Professional		$281.84	$1,584.89	$4,466.84