Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.26 / $181.00 / $212.00	Facility		$178.26	$181.00	$212.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $178.26 / $200.14	Professional		$154.07	$178.26	$200.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $197.59 / $197.59 / $202.20	Professional		$197.59	$197.59	$202.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $161.71 / $161.71	Professional		$37.97	$161.71	$161.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.84 / $322.67 / $351.32	Facility		$221.84	$322.67	$351.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.66 / $282.33 / $404.62	Professional		$232.66	$282.33	$404.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00