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 $1,317.81 / $1,493.04 / $2,098.92	Professional		$1,317.81	$1,493.04	$2,098.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,191.31 / $1,191.31 / $1,198.33	Professional		$1,191.31	$1,191.31	$1,198.33
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 $1,263.53 / $1,486.51 / $2,033.78	Professional		$1,263.53	$1,486.51	$2,033.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,185.32 / $1,667.83 / $1,906.10	Facility		$1,185.32	$1,667.83	$1,906.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,171.36 / $1,667.83 / $2,382.62	Professional		$1,171.36	$1,667.83	$2,382.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.31 / $1,473.31 / $2,862.58	Facility		$1,473.31	$1,473.31	$2,862.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.63 / $146.63 / $146.63	Facility	AS	$146.63	$146.63	$146.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.11 / $1,830.68 / $6,899.79	Professional		$1,099.11	$1,830.68	$6,899.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,183.24	Professional		$32.34	$32.34	$1,183.24
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 $1,297.69 / $1,523.30 / $2,367.56	Professional		$1,297.69	$1,523.30	$2,367.56