Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,630.27 / $12,589.25	Facility		$851.14	$2,630.27	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $2,344.23 / $10,232.93	Professional		$676.08	$2,344.23	$10,232.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $812.83	Professional		$199.53	$199.53	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $11,220.18	Facility		$5,888.44	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $4,897.79 / $7,585.78	Professional		$537.03	$4,897.79	$7,585.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $977.24	Facility		$588.84	$812.83	$977.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,000.00	Professional		$588.84	$851.14	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,122.02 / $1,122.02	Facility		$34.67	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $8,128.31 / $28,840.32	Professional		$812.83	$8,128.31	$28,840.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,760.83 / $22,908.68	Facility		$1,174.90	$6,760.83	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $4,677.35 / $12,302.69	Professional		$794.33	$4,677.35	$12,302.69