Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.88 / $33.88	Facility		$23.99	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $134.90	Professional		$28.84	$64.57	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $186.21	Professional		$19.50	$19.50	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $154.88	Professional		$102.33	$154.88	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $398.11 / $48,977.88	Facility		$23.99	$398.11	$48,977.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $346.74 / $602.56	Professional		$26.92	$346.74	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $177.83	Professional		$104.71	$120.23	$177.83