Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,348.96	Facility		$1,122.02	$1,288.25	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,089.30	Professional		$1,071.52	$1,318.26	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
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 $1,000.00 / $1,174.90 / $1,819.70	Professional		$1,000.00	$1,174.90	$1,819.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,089.30	Facility		$1,202.26	$1,737.80	$2,089.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,137.96	Professional		$1,258.93	$1,778.28	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,479.11 / $2,344.23	Facility		$34.67	$1,479.11	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $7,079.46	Professional		$1,288.25	$2,187.76	$7,079.46
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 $1,096.48 / $1,380.38 / $2,238.72	Professional		$1,096.48	$1,380.38	$2,238.72