Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.16 / $1,625.91 / $8,949.48	Facility		$882.16	$1,625.91	$8,949.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.98 / $913.17 / $1,134.85	Professional		$824.98	$913.17	$1,134.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $801.96 / $801.96 / $820.41	Professional		$801.96	$801.96	$820.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,800.00	Facility		$2,088.00	$3,889.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $710.39 / $846.61 / $1,337.00	Professional		$710.39	$846.61	$1,337.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $799.01 / $1,122.74 / $1,283.14	Facility		$799.01	$1,122.74	$1,283.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $877.84 / $1,122.74 / $1,603.92	Professional		$877.84	$1,122.74	$1,603.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.63 / $992.47 / $2,280.98	Facility		$816.63	$992.47	$2,280.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.13 / $99.13 / $99.13	Facility	AS	$99.13	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.43 / $1,105.69 / $1,992.30	Professional		$741.43	$1,105.69	$1,992.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $788.97	Professional		$32.34	$32.34	$788.97
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 $772.99 / $945.66 / $1,558.48	Professional		$772.99	$945.66	$1,558.48