Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $8,511.38	Facility		$1,412.54	$2,884.03	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $2,511.89	Professional		$1,318.26	$1,548.82	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,454.71	Professional		$1,047.13	$1,202.26	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,495.41 / $12,302.69	Facility		$3,311.31	$5,495.41	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,398.83	Professional		$1,258.93	$1,479.11	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,905.46	Facility		$1,174.90	$1,479.11	$1,905.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,949.84	Professional		$1,202.26	$1,621.81	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $2,187.76	Facility		$34.67	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $7,079.46	Professional		$1,348.96	$2,290.87	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $891.25	Professional		$32.36	$33.11	$891.25
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 $1,288.25 / $1,621.81 / $2,630.27	Professional		$1,288.25	$1,621.81	$2,630.27