Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $56.23 / $97.72	Facility		$43.65	$56.23	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $128.82	Professional		$39.81	$56.23	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $104.71	Professional		$20.42	$20.42	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $134.90	Professional		$43.65	$83.18	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $302.00 / $41,686.94	Facility		$20.42	$302.00	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $338.84 / $602.56	Professional		$26.92	$338.84	$602.56
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $512.86	Facility		$234.42	$234.42	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $117.49 / $154.88	Professional		$32.36	$117.49	$154.88