Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.02 / $945.22 / $980.22	Facility		$642.02	$945.22	$980.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.04 / $971.50 / $1,091.84	Professional		$812.04	$971.50	$1,091.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,379.26 / $1,379.26 / $1,379.26	Professional		$1,379.26	$1,379.26	$1,379.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,144.78 / $1,839.01 / $1,932.80	Facility		$1,144.78	$1,839.01	$1,932.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.13 / $1,023.03 / $1,069.65	Professional		$860.13	$1,023.03	$1,069.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,379.26 / $2,593.00 / $3,252.53	Facility		$1,379.26	$2,593.00	$3,252.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,747.06 / $2,337.75 / $3,034.37	Professional		$1,747.06	$2,337.75	$3,034.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.41 / $1,108.41 / $2,272.26	Facility		$1,108.41	$1,108.41	$2,272.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $9,523.74	Professional		$809.14	$1,108.41	$9,523.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $880.58 / $1,073.89 / $1,342.36	Professional		$880.58	$1,073.89	$1,342.36
United Facility/Professional Professional Modifier Low / Median / High Price $611.64 / $916.61 / $1,298.53	Professional		$611.64	$916.61	$1,298.53