Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Facility		$84.95	$84.95	$84.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $84.95 / $103.55	Professional		$58.78	$84.95	$103.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $90.00 / $127.51	Professional		$76.50	$90.00	$127.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,249.74 / $40,424.60 / $55,999.44	Facility		$26,249.74	$40,424.60	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47,249.53 / $48,999.51 / $50,749.49	Professional		$47,249.53	$48,999.51	$50,749.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $202.00 / $202.00	Professional		$121.23	$202.00	$202.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00