Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $112.32 / $196.00	Facility		$78.12	$112.32	$196.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $112.32 / $130.69	Professional		$78.12	$112.32	$130.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $42.50 / $57.50	Professional		$32.75	$42.50	$57.50
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 / $305.27 / $376.09	Professional		$253.26	$305.27	$376.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $134.86	Professional		$45.00	$45.00	$134.86