Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.39 / $1,179.39 / $1,743.45	Facility		$1,179.39	$1,179.39	$1,743.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.40 / $1,423.84 / $1,743.45	Professional		$933.40	$1,423.84	$1,743.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,650.00 / $1,650.00 / $1,821.77	Professional		$1,650.00	$1,650.00	$1,821.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,658.44 / $2,002.76 / $2,100.40	Professional		$1,658.44	$2,002.76	$2,100.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $213.99 / $386.63 / $4,001.64	Facility		$213.99	$386.63	$4,001.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $266.64 / $399.45 / $4,446.04	Professional		$266.64	$399.45	$4,446.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $3,066.27	Facility		$1,350.00	$1,350.00	$3,066.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $2,358.54	Professional		$1,147.50	$1,350.00	$2,358.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,928.96	Professional		$100.00	$100.00	$1,928.96
United Facility/Professional Professional Modifier Low / Median / High Price $889.04 / $1,429.13 / $2,193.40	Professional		$889.04	$1,429.13	$2,193.40