Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,162.28 / $8,511.38	Facility		$1,096.48	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,511.89	Professional		$1,023.29	$1,230.27	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $933.25 / $1,698.24	Professional		$831.76	$933.25	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,495.41 / $12,302.69	Facility		$3,388.44	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $2,398.83	Professional		$1,071.52	$1,288.25	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,479.11	Facility		$933.25	$1,148.15	$1,479.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,548.82	Professional		$1,023.29	$1,288.25	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $4,168.69	Facility		$1,698.24	$1,698.24	$4,168.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	AS	$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,995.26 / $7,244.36	Professional		$1,000.00	$1,995.26	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,089.30	Professional		$1,000.00	$1,348.96	$2,089.30