Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $412.50 / $412.50	Professional		$129.68	$412.50	$412.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $94.33 / $330.00	Professional		$60.00	$94.33	$330.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $536.00 / $1,243.00	Facility		$429.00	$536.00	$1,243.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $68.20 / $110.59	Professional		$57.97	$68.20	$110.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.86 / $155.63 / $3,383.64	Facility		$103.86	$155.63	$3,383.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $132.53 / $1,987.89	Professional		$104.79	$132.53	$1,987.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $94.33 / $94.33	Professional		$94.33	$94.33	$94.33
United Facility/Professional Professional Modifier Low / Median / High Price $317.25 / $396.81 / $546.10	Professional		$317.25	$396.81	$546.10