Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,000.00 / $8,511.38	Facility		$275.42	$1,000.00	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $407.38	Professional		$123.03	$194.98	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $186.21 / $338.84	Professional		$0.02	$186.21	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $3,548.13 / $45,708.82	Facility		$269.15	$3,548.13	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $3,467.37 / $6,025.60	Professional		$223.87	$3,467.37	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $1,995.26	Professional		$44.67	$44.67	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $346.74 / $645.65	Professional		$147.91	$346.74	$645.65