Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.70 / $212.70 / $1,134.79	Facility		$212.70	$212.70	$1,134.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.23 / $340.23 / $3,614.56	Professional		$340.23	$340.23	$3,614.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $193.36 / $193.36	Professional		$193.36	$193.36	$193.36
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 $191.20 / $1,465.50 / $3,427.36	Professional		$191.20	$1,465.50	$3,427.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.21 / $270.70 / $312.27	Facility		$198.21	$270.70	$312.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $309.38 / $2,025.60	Professional		$193.36	$309.38	$2,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.56 / $314.56 / $314.56	Professional		$314.56	$314.56	$314.56
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 $1,867.17 / $3,373.96 / $4,311.35	Professional		$1,867.17	$3,373.96	$4,311.35