Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,185.00 / $9,153.00 / $60,320.00	Facility		$3,185.00	$9,153.00	$60,320.00
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 $193.97 / $2,909.58 / $11,374.89	Facility		$193.97	$2,909.58	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $193.97 / $3,021.48 / $5,332.04	Professional		$193.97	$3,021.48	$5,332.04
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 $265.67 / $435.23 / $606.75	Professional		$265.67	$435.23	$606.75