Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.62 / $879.01 / $879.01	Facility		$847.62	$879.01	$879.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.92 / $772.56 / $879.01	Professional		$657.92	$772.56	$879.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,170.68 / $1,236.83 / $1,236.83	Professional		$1,170.68	$1,236.83	$1,236.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,026.58 / $1,649.12 / $1,733.23	Facility		$1,026.58	$1,649.12	$1,733.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $765.53	Professional		$170.00	$170.00	$765.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,236.83 / $2,021.33 / $2,497.46	Facility		$1,236.83	$2,021.33	$2,497.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,496.46 / $1,978.94 / $2,721.05	Professional		$1,496.46	$1,978.94	$2,721.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $1,932.56	Facility		$906.54	$906.54	$1,932.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $906.54 / $6,865.32	Professional		$661.77	$906.54	$6,865.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $903.57 / $1,101.92 / $1,377.40	Professional		$903.57	$1,101.92	$1,377.40
United Facility/Professional Professional Modifier Low / Median / High Price $519.15 / $742.87 / $1,087.19	Professional		$519.15	$742.87	$1,087.19