Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.51 / $186.51 / $570.01	Facility		$186.51	$186.51	$570.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.08 / $297.08 / $1,234.66	Professional		$297.08	$297.08	$1,234.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.42 / $220.42 / $220.42	Professional		$220.42	$220.42	$220.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $657.99 / $1,044.33	Professional		$168.22	$657.99	$1,044.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.69 / $237.37 / $273.83	Facility		$173.69	$237.37	$273.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.55 / $271.27 / $1,036.38	Professional		$169.55	$271.27	$1,036.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.45 / $276.45 / $276.45	Professional		$276.45	$276.45	$276.45
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 Professional Modifier Low / Median / High Price $728.80 / $1,254.43 / $1,616.14	Professional		$728.80	$1,254.43	$1,616.14