Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $4,073.80	Professional		$1,949.84	$2,187.76	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $15,135.61	Facility		$8,912.51	$10,715.19	$15,135.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $2,630.27	Professional		$1,513.56	$1,819.70	$2,630.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $3,162.28	Facility		$1,819.70	$2,238.72	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,090.30	Professional		$1,737.80	$2,398.83	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $3,548.13 / $3,548.13	Facility		$34.67	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $12,302.69	Professional		$2,041.74	$3,019.95	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,041.74	Professional		$32.36	$33.11	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,981.07	Professional		$1,862.09	$2,570.40	$3,981.07