Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $21.88 / $21.88	Facility		$15.85	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $83.18	Professional		$19.05	$45.71	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $154.88	Professional		$109.65	$154.88	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $281.84 / $48,977.88	Facility		$17.38	$281.84	$48,977.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $251.19 / $436.52	Professional		$19.50	$251.19	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $64.57 / $74.13 / $107.15	Professional		$64.57	$74.13	$107.15