Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $2,400.00	Professional		$144.00	$144.00	$2,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.00 / $1,350.00 / $1,350.00	Professional		$860.00	$1,350.00	$1,350.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.32 / $500.00 / $4,860.00	Facility		$283.32	$500.00	$4,860.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $314.81 / $436.32 / $5,949.85	Professional		$314.81	$436.32	$5,949.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.39 / $1,150.00 / $1,200.00	Facility		$583.39	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $438.22 / $466.20	Professional		$350.58	$438.22	$466.20