Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,897.79 / $8,511.38	Facility		$724.44	$4,897.79	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,818.38 / $8,317.64	Professional		$741.31	$2,818.38	$8,317.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $10,232.93	Professional		$1,412.54	$1,412.54	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,165.95 / $13,182.57	Facility		$3,801.89	$6,165.95	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $6,025.60	Professional		$812.83	$1,548.82	$6,025.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,148.15	Facility		$691.83	$954.99	$1,148.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,174.90	Professional		$707.95	$1,000.00	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,311.31	Facility		$1,318.26	$1,318.26	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $4,073.80 / $25,703.96	Professional		$912.01	$4,073.80	$25,703.96
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 / $25,118.86	Facility		$1,174.90	$6,760.83	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $10,000.00	Professional		$812.83	$1,584.89	$10,000.00