Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.63 / $1,035.35 / $1,076.77	Facility		$702.63	$1,035.35	$1,076.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.40 / $1,050.34 / $1,153.33	Professional		$924.40	$1,050.34	$1,153.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,631.66 / $1,631.66 / $1,631.66	Professional		$1,631.66	$1,631.66	$1,631.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,354.27 / $2,175.54 / $2,286.48	Facility		$1,354.27	$2,175.54	$2,286.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.53 / $1,160.95 / $1,300.05	Professional		$1,017.53	$1,160.95	$1,300.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,631.66 / $3,029.28 / $3,484.65	Facility		$1,631.66	$3,029.28	$3,484.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,066.76 / $2,704.71 / $3,589.64	Professional		$2,066.76	$2,704.71	$3,589.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $2,549.46	Facility		$1,207.83	$1,207.83	$2,549.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $10,396.69	Professional		$881.72	$1,207.83	$10,396.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,136.92 / $1,386.49 / $1,733.11	Professional		$1,136.92	$1,386.49	$1,733.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $723.57 / $1,085.34 / $1,486.00	Professional		$723.57	$1,085.34	$1,486.00