Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $11,481.54	Facility		$1,380.38	$3,162.28	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $52.48 / $2,344.23	Professional		$20.89	$52.48	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,137.96 / $3,981.07	Facility		$707.95	$2,137.96	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $131.83 / $218.78	Professional		$107.15	$131.83	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,230.27 / $45,708.82	Facility		$77.62	$1,230.27	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $1,288.25 / $2,290.87	Professional		$102.33	$1,288.25	$2,290.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $912.01 / $2,951.21	Facility		$316.23	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $83.18	Professional		$17.38	$24.55	$83.18