Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $457.09	Professional		$91.20	$141.25	$457.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $186.21	Professional		$104.71	$114.82	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $169.82	Professional		$112.20	$131.83	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $181.97	Facility		$107.15	$134.90	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $169.82	Professional		$107.15	$128.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $537.03	Professional		$104.71	$147.91	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $190.55	Professional		$100.00	$128.82	$190.55