Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $725.00 / $725.00	Facility		$725.00	$725.00	$725.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $139.69 / $725.00	Professional		$139.69	$139.69	$725.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $175.00 / $432.15	Professional		$60.00	$175.00	$432.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.09 / $725.00 / $1,303.00	Facility		$72.09	$725.00	$1,303.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $72.09 / $114.52	Professional		$57.97	$72.09	$114.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.79 / $132.08 / $388.94	Facility		$104.79	$132.08	$388.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $120.60 / $157.31	Professional		$104.87	$120.60	$157.31
United Facility/Professional Professional Modifier Low / Median / High Price $331.25 / $393.61 / $725.00	Professional		$331.25	$393.61	$725.00