Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $16,982.44	Facility		$2,238.72	$4,365.16	$16,982.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $6,760.83 / $41,686.94	Facility		$457.09	$6,760.83	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $7,762.47 / $13,489.63	Professional		$602.56	$7,762.47	$13,489.63
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 $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,288.25	Professional		$660.69	$870.96	$1,288.25