Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,548.13 / $4,073.80	Facility		$1,096.48	$3,548.13	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,479.11	Professional		$912.01	$1,096.48	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,715.19 / $11,220.18	Facility		$7,244.36	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,548.82	Professional		$1,047.13	$1,230.27	$1,548.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,737.80	Facility		$1,023.29	$1,479.11	$1,737.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $1,778.28	Professional		$977.24	$1,479.11	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,995.26 / $1,995.26	Facility		$34.67	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $6,165.95	Professional		$1,096.48	$1,819.70	$6,165.95
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 $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,949.84	Professional		$912.01	$1,174.90	$1,949.84