Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $370.24 / $370.24	Facility		$51.71	$370.24	$370.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $101.06 / $101.06	Professional		$51.71	$101.06	$101.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $71.83 / $71.83	Professional		$71.83	$71.83	$71.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.72 / $96.15 / $106.46	Professional		$81.72	$96.15	$106.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.44 / $845.24 / $47,249.53	Facility		$58.44	$845.24	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $750.38 / $1,324.20	Professional		$58.44	$750.38	$1,324.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $97.13 / $129.41	Professional		$72.09	$97.13	$129.41