Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $954.99 / $1,071.52	Facility		$933.25	$954.99	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,513.56	Professional		$776.25	$954.99	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $1,380.38	Professional		$1,174.90	$1,348.96	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $1,949.84	Facility		$1,659.59	$1,819.70	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $977.24	Professional		$851.14	$933.25	$977.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $3,162.28	Facility		$1,348.96	$2,454.71	$3,162.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,884.03	Professional		$1,819.70	$2,238.72	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,884.03 / $2,884.03	Facility		$1,174.90	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $8,511.38	Professional		$851.14	$1,513.56	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,288.25	Professional		$794.33	$1,000.00	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $851.14 / $1,000.00	Facility		$794.33	$851.14	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,174.90	Professional		$588.84	$851.14	$1,174.90