Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.85 / $353.34 / $616.00	Facility		$104.85	$353.34	$616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $104.85 / $187.68	Professional		$94.00	$104.85	$187.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $99.66 / $99.66	Professional		$99.66	$99.66	$99.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,791.06 / $2,424.65 / $3,700.78	Professional		$1,791.06	$2,424.65	$3,700.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.63 / $1,194.40 / $11,374.89	Facility		$79.63	$1,194.40	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.63 / $1,240.33 / $2,188.83	Professional		$79.63	$1,240.33	$2,188.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $206.97 / $323.04	Professional		$152.83	$206.97	$323.04