Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,187.76 / $8,511.38	Facility		$190.55	$2,187.76	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,905.46 / $4,265.80	Professional		$162.18	$1,905.46	$4,265.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,549.93	Facility		$2,570.40	$4,073.80	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $426.58 / $2,398.83	Professional		$128.82	$426.58	$2,398.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $257.04	Facility		$154.88	$218.78	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $263.03	Professional		$144.54	$223.87	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $295.12 / $295.12	Facility		$34.67	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $3,467.37 / $12,022.64	Professional		$208.93	$3,467.37	$12,022.64
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 $165.96 / $2,630.27 / $5,011.87	Professional		$165.96	$2,630.27	$5,011.87