Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,818.38 / $10,471.29	Facility		$1,174.90	$2,818.38	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $1,905.46	Professional		$1,096.48	$1,288.25	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,071.52	Professional		$1,023.29	$1,047.13	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,677.35 / $12,022.64	Facility		$2,630.27	$4,677.35	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,995.26	Professional		$1,000.00	$1,174.90	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,621.81	Facility		$1,023.29	$1,258.93	$1,621.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,698.24	Professional		$1,023.29	$1,445.44	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,905.46 / $1,905.46	Facility		$34.67	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $5,370.32	Professional		$1,047.13	$1,778.28	$5,370.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
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 $1,047.13 / $1,288.25 / $2,238.72	Professional		$1,047.13	$1,288.25	$2,238.72