Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $13,803.84	Facility		$1,071.52	$2,818.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,862.09	Professional		$977.24	$1,174.90	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,079.46 / $14,125.38	Facility		$4,073.80	$7,079.46	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,548.82	Professional		$831.76	$1,000.00	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,659.59	Facility		$1,000.00	$1,412.54	$1,659.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $1,698.24	Professional		$933.25	$1,445.44	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,311.31	Facility		$1,905.46	$1,905.46	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $6,918.31	Professional		$1,174.90	$1,862.09	$6,918.31
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 $977.24 / $5,011.87 / $12,302.69	Facility		$977.24	$5,011.87	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,187.76	Professional		$977.24	$1,479.11	$2,187.76