Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.25 / $445.25 / $2,600.23	Facility		$445.25	$445.25	$2,600.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.72 / $704.72 / $5,286.31	Professional		$704.72	$704.72	$5,286.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.33 / $283.33 / $283.33	Professional		$283.33	$283.33	$283.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.11 / $2,737.83 / $4,611.39	Professional		$408.11	$2,737.83	$4,611.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $414.90 / $566.67 / $653.70	Facility		$414.90	$566.67	$653.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $465.49 / $647.63 / $4,727.70	Professional		$465.49	$647.63	$4,727.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.14 / $671.14 / $671.14	Professional		$671.14	$671.14	$671.14
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 $3,347.94 / $5,216.68 / $6,418.67	Professional		$3,347.94	$5,216.68	$6,418.67