Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $15,135.61	Facility		$1,698.24	$3,548.13	$15,135.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,344.23 / $41,686.94	Facility		$154.88	$2,344.23	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $2,630.27 / $4,677.35	Professional		$208.93	$2,630.27	$4,677.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $223.87	Professional		$112.20	$147.91	$223.87