Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $5,495.41	Facility		$501.19	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,000.00	Professional		$467.74	$630.96	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,398.83 / $4,365.16	Facility		$1,412.54	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $426.58 / $831.76	Professional		$354.81	$426.58	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $676.08	Facility		$426.58	$524.81	$676.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $707.95	Professional		$416.87	$575.44	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $794.33 / $1,862.09	Facility		$645.65	$794.33	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $3,311.31	Professional		$457.09	$741.31	$3,311.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,000.00	Professional		$398.11	$575.44	$1,000.00