Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $4,365.16 / $10,000.00	Facility		$436.52	$4,365.16	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $537.03 / $4,073.80	Professional		$234.42	$537.03	$4,073.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $2,511.89	Professional		$208.93	$309.03	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,120.11 / $15,848.93	Facility		$4,466.84	$9,120.11	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $2,041.74	Professional		$309.03	$524.81	$2,041.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $426.58	Facility		$218.78	$309.03	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,819.70 / $2,454.71	Professional		$281.84	$1,819.70	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $3,311.31	Facility		$416.87	$416.87	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,089.30 / $9,120.11	Professional		$380.19	$2,089.30	$9,120.11
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 $741.31 / $3,890.45 / $8,511.38	Facility		$741.31	$3,890.45	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,412.54 / $3,019.95	Professional		$269.15	$1,412.54	$3,019.95