Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.68 / $1,261.33 / $8,229.00	Facility		$1,023.68	$1,261.33	$8,229.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $767.76 / $876.82 / $946.01	Facility	54	$767.76	$876.82	$946.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.21 / $1,175.80 / $1,403.71	Professional		$992.21	$1,175.80	$1,403.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,069.42 / $1,069.42 / $1,069.42	Professional		$1,069.42	$1,069.42	$1,069.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,292.00 / $4,229.00	Facility		$1,215.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.02 / $1,051.59 / $1,556.07	Professional		$876.02	$1,051.59	$1,556.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,057.68 / $1,487.93 / $1,700.50	Facility		$1,057.68	$1,487.93	$1,700.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,038.90 / $1,487.93 / $2,125.62	Professional		$1,038.90	$1,487.93	$2,125.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,311.10 / $1,311.10 / $2,280.98	Facility		$1,311.10	$1,311.10	$2,280.98
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $913.68 / $913.68 / $913.68	Facility	54	$913.68	$913.68	$913.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $923.48 / $1,323.34 / $5,464.63	Professional		$923.48	$1,323.34	$5,464.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $815.33	Professional		$32.34	$32.34	$815.33
United Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.77 / $1,243.05 / $2,010.57	Professional		$1,002.77	$1,243.05	$2,010.57