Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $96.10 / $96.10	Facility		$96.10	$96.10	$96.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $96.10 / $98.73	Professional		$69.12	$96.10	$98.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $72.04 / $112.40	Professional		$51.00	$72.04	$112.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Professional		$0.02	$0.03	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $341.90 / $341.90 / $341.91	Facility		$341.90	$341.90	$341.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.26 / $293.06 / $376.09	Professional		$253.26	$293.06	$376.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $20.93 / $20.93	Professional		$20.93	$20.93	$20.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00