Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,084.00 / $4,426.00 / $19,117.00	Facility		$2,084.00	$4,426.00	$19,117.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.47 / $1,633.50 / $2,534.86	Professional		$1,258.47	$1,633.50	$2,534.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.09 / $7,400.24 / $16,786.48	Facility		$558.09	$7,400.24	$16,786.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.35 / $7,684.86 / $13,561.53	Professional		$493.35	$7,684.86	$13,561.53
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 $683.99 / $909.80 / $1,413.46	Professional		$683.99	$909.80	$1,413.46