Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.23 / $816.75 / $1,267.43	Professional		$629.23	$816.75	$1,267.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $191.74 / $2,542.44 / $16,327.36	Facility		$191.74	$2,542.44	$16,327.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $2,640.23 / $4,659.22	Professional		$169.50	$2,640.23	$4,659.22
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 Professional Modifier Low / Median / High Price $111.77 / $149.66 / $235.40	Professional		$111.77	$149.66	$235.40