Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.60 / $1,091.76 / $1,132.19	Facility		$780.60	$1,091.76	$1,132.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $937.94 / $1,132.19 / $1,324.24	Professional		$937.94	$1,132.19	$1,324.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,593.09 / $1,593.09 / $1,593.09	Professional		$1,593.09	$1,593.09	$1,593.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,322.26 / $2,124.12 / $2,232.44	Facility		$1,322.26	$2,124.12	$2,232.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $993.50 / $1,243.85 / $1,271.10	Professional		$993.50	$1,243.85	$1,271.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,593.09 / $2,995.01 / $3,944.77	Facility		$1,593.09	$2,995.01	$3,944.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,095.66 / $2,835.30 / $3,504.80	Professional		$2,095.66	$2,835.30	$3,504.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.28 / $1,327.28 / $2,719.84	Facility		$1,327.28	$1,327.28	$2,719.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $968.91 / $1,327.28 / $11,399.69	Professional		$968.91	$1,327.28	$11,399.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,110.06 / $1,353.74 / $1,692.17	Professional		$1,110.06	$1,353.74	$1,692.17
United Facility/Professional Professional Modifier Low / Median / High Price $706.47 / $1,059.70 / $1,419.28	Professional		$706.47	$1,059.70	$1,419.28