Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.25 / $1,716.00 / $8,229.00	Facility		$231.25	$1,716.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.10 / $421.02 / $2,805.07	Professional		$233.10	$421.02	$2,805.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.97 / $243.97 / $243.97	Professional		$243.97	$243.97	$243.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,315.00 / $4,322.00	Facility		$1,066.00	$2,315.00	$4,322.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.83 / $387.17 / $1,996.52	Professional		$240.83	$387.17	$1,996.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $308.97 / $356.42	Facility		$225.11	$308.97	$356.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.72 / $317.67 / $2,971.54	Professional		$215.72	$317.67	$2,971.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.07 / $406.07 / $406.07	Facility		$406.07	$406.07	$406.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.43 / $628.35 / $4,232.30	Professional		$256.43	$628.35	$4,232.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $2,482.26	Professional		$32.34	$32.34	$2,482.26
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,339.00 / $5,301.00	Facility		$523.00	$1,339.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.28 / $2,605.92 / $5,226.50	Professional		$566.28	$2,605.92	$5,226.50