Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.54 / $199.54 / $743.45	Facility		$199.54	$199.54	$743.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.60 / $321.60 / $1,697.42	Professional		$321.60	$321.60	$1,697.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.40 / $181.40 / $253.96	Professional		$181.40	$181.40	$253.96
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 $180.30 / $875.96 / $1,396.16	Professional		$180.30	$875.96	$1,396.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.66 / $253.96 / $292.95	Facility		$185.66	$253.96	$292.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $290.24 / $1,327.05	Professional		$208.61	$290.24	$1,327.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $296.25 / $296.25	Professional		$296.25	$296.25	$296.25
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 $1,051.68 / $1,664.68 / $2,151.48	Professional		$1,051.68	$1,664.68	$2,151.48