Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,818.38 / $8,511.38	Facility		$851.14	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,511.89	Professional		$812.83	$1,122.02	$2,511.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,819.70	Professional		$912.01	$1,023.29	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $12,022.64	Facility		$2,818.38	$4,466.84	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,174.90	Professional		$724.44	$851.14	$1,174.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,288.25	Facility		$794.33	$1,071.52	$1,288.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,318.26	Professional		$776.25	$1,122.02	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,290.87	Facility		$1,000.00	$1,479.11	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $4,570.88	Professional		$870.96	$1,380.38	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $724.44 / $977.24 / $1,621.81	Professional		$724.44	$977.24	$1,621.81