Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,221.40 / $8,681.53	Facility		$860.00	$1,221.40	$8,681.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.81 / $1,168.30 / $1,805.47	Professional		$1,072.81	$1,168.30	$1,805.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,024.72 / $1,024.72 / $1,030.69	Professional		$1,024.72	$1,024.72	$1,030.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,288.00 / $4,367.00 / $11,262.00	Facility		$2,288.00	$4,367.00	$11,262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.87 / $1,150.44 / $1,687.37	Professional		$977.87	$1,150.44	$1,687.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,019.50 / $1,434.61 / $1,639.55	Facility		$1,019.50	$1,434.61	$1,639.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,001.66 / $1,434.61 / $2,049.44	Professional		$1,001.66	$1,434.61	$2,049.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,266.49 / $1,266.49 / $2,280.98	Facility		$1,266.49	$1,266.49	$2,280.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.29 / $1,425.68 / $5,266.62	Professional		$935.29	$1,425.68	$5,266.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $896.92	Professional		$32.34	$32.34	$896.92
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 $1,036.36 / $1,278.44 / $1,933.18	Professional		$1,036.36	$1,278.44	$1,933.18