Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $6,559.00 / $7,288.00	Facility		$5,830.00	$6,559.00	$7,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.85 / $629.24 / $989.68	Professional		$534.85	$629.24	$989.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $203.39 / $2,942.70 / $47,249.53	Facility		$203.39	$2,942.70	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.95 / $3,029.25 / $4,543.88	Professional		$201.95	$3,029.25	$4,543.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.44 / $856.16 / $1,098.33	Professional		$550.44	$856.16	$1,098.33