Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.00 / $2,528.00 / $8,229.00	Facility		$896.00	$2,528.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.81 / $1,294.27 / $1,805.47	Professional		$1,132.81	$1,294.27	$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 $1,103.49 / $1,317.98 / $1,929.98	Professional		$1,103.49	$1,317.98	$1,929.98
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 $1,024.72 / $1,434.61 / $2,049.44	Professional		$1,024.72	$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 Facility Modifier AS Low / Median / High Price $126.05 / $126.05 / $126.05	Facility	AS	$126.05	$126.05	$126.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $944.94 / $1,606.68 / $5,985.89	Professional		$944.94	$1,606.68	$5,985.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,027.18	Professional		$32.34	$32.34	$1,027.18
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 $1,107.16 / $1,390.82 / $2,127.08	Professional		$1,107.16	$1,390.82	$2,127.08