Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.48 / $2,157.88 / $8,229.00	Facility		$1,174.48	$2,157.88	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.17 / $1,378.00 / $1,878.72	Professional		$1,179.17	$1,378.00	$1,878.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,067.71 / $1,067.71 / $1,073.33	Professional		$1,067.71	$1,067.71	$1,073.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,712.00 / $5,199.00 / $11,294.00	Facility		$2,712.00	$5,199.00	$11,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.58 / $1,414.43 / $2,260.82	Professional		$1,158.58	$1,414.43	$2,260.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,061.85 / $1,494.79 / $1,708.34	Facility		$1,061.85	$1,494.79	$1,708.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,174.48 / $1,494.79 / $2,135.42	Professional		$1,174.48	$1,494.79	$2,135.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.51 / $1,318.51 / $2,280.98	Facility		$1,318.51	$1,318.51	$2,280.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.16 / $131.16 / $131.16	Facility	AS	$131.16	$131.16	$131.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.76 / $1,779.57 / $3,342.10	Professional		$1,098.76	$1,779.57	$3,342.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,309.84	Professional		$32.34	$32.34	$1,309.84
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 $1,153.30 / $1,534.08 / $2,155.44	Professional		$1,153.30	$1,534.08	$2,155.44