Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.79 / $813.77 / $1,036.57	Facility		$666.79	$813.77	$1,036.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.54 / $821.34 / $1,416.62	Professional		$642.54	$821.34	$1,416.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,225.04 / $1,225.04 / $1,225.04	Professional		$1,225.04	$1,225.04	$1,225.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.59 / $792.62 / $1,151.35	Professional		$584.59	$792.62	$1,151.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $739.79 / $1,035.71 / $1,220.65	Facility		$739.79	$1,035.71	$1,220.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $942.34 / $1,177.93 / $1,451.20	Professional		$942.34	$1,177.93	$1,451.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.12 / $1,361.21 / $1,361.21	Facility		$800.12	$1,361.21	$1,361.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.93 / $990.00 / $1,731.16	Professional		$666.93	$990.00	$1,731.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.98 / $914.52 / $1,495.94	Professional		$686.98	$914.52	$1,495.94