Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.52 / $542.52 / $3,669.85	Facility		$542.52	$542.52	$3,669.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.14 / $864.14 / $7,559.40	Professional		$864.14	$864.14	$7,559.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $690.48 / $690.48 / $690.48	Professional		$690.48	$690.48	$690.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.42 / $3,895.85 / $6,542.40	Professional		$498.42	$3,895.85	$6,542.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $505.38 / $690.48 / $796.52	Facility		$505.38	$690.48	$796.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $567.17 / $789.12 / $6,550.70	Professional		$567.17	$789.12	$6,550.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $818.98 / $818.98	Professional		$818.98	$818.98	$818.98
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 $4,818.77 / $7,588.58 / $10,579.20	Professional		$4,818.77	$7,588.58	$10,579.20