Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.26 / $142.26 / $199.00	Facility		$142.26	$142.26	$199.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $142.26 / $142.26	Professional		$110.15	$142.26	$142.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $62.75 / $62.75	Professional		$62.75	$62.75	$62.75
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 $458.68 / $458.68 / $458.68	Facility		$458.68	$458.68	$458.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.77 / $409.54 / $504.55	Professional		$339.77	$409.54	$504.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $144.03	Professional		$45.00	$45.00	$144.03