Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,989.00 / $11,581.00	Facility		$1,000.00	$2,989.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $83.20 / $83.20	Professional		$39.42	$83.20	$83.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.18 / $129.90 / $228.16	Professional		$97.18	$129.90	$228.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.41 / $1,244.27 / $12,668.82	Facility		$75.41	$1,244.27	$12,668.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $1,297.99 / $2,290.58	Professional		$86.53	$1,297.99	$2,290.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $979.00 / $3,218.00	Facility		$444.00	$979.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $25.97 / $91.33	Professional		$18.86	$25.97	$91.33