Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.65 / $1,362.71 / $1,417.21	Facility		$830.65	$1,362.71	$1,417.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.34 / $1,408.19 / $1,577.17	Professional		$1,176.34	$1,408.19	$1,577.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,147.54 / $2,147.54 / $2,219.21	Professional		$2,147.54	$2,147.54	$2,219.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,782.45 / $2,863.38 / $3,009.41	Facility		$1,782.45	$2,863.38	$3,009.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.25 / $1,372.56 / $1,711.10	Professional		$1,339.25	$1,372.56	$1,711.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,147.54 / $3,838.35 / $4,734.34	Facility		$2,147.54	$3,838.35	$4,734.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,706.58 / $3,579.23 / $4,724.58	Professional		$2,706.58	$3,579.23	$4,724.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $3,355.52	Facility		$1,800.00	$1,800.00	$3,355.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $12,317.37	Professional		$1,314.00	$1,800.00	$12,317.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,496.40 / $1,824.88 / $2,281.10	Professional		$1,496.40	$1,824.88	$2,281.10
United Facility/Professional Professional Modifier Low / Median / High Price $952.34 / $1,428.51 / $1,887.69	Professional		$952.34	$1,428.51	$1,887.69