Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.39 / $2,495.00 / $10,135.45	Facility		$461.39	$2,495.00	$10,135.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.86 / $2,843.00 / $10,135.45	Professional		$476.86	$2,843.00	$10,135.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,711.76 / $5,711.76 / $5,711.76	Professional		$5,711.76	$5,711.76	$5,711.76
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 $390.37 / $4,870.97 / $7,849.02	Professional		$390.37	$4,870.97	$7,849.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.46 / $608.67 / $702.15	Facility		$443.46	$608.67	$702.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $474.48 / $636.58 / $8,796.11	Professional		$474.48	$636.58	$8,796.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $799.98 / $799.98 / $799.98	Facility		$799.98	$799.98	$799.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.91 / $6,095.17 / $13,680.74	Professional		$582.91	$6,095.17	$13,680.74
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 Facility Modifier Low / Median / High Price $1,168.00 / $6,186.00 / $22,932.00	Facility		$1,168.00	$6,186.00	$22,932.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,275.86 / $10,743.24 / $14,440.70	Professional		$7,275.86	$10,743.24	$14,440.70