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 / $818.00 / $1,267.43	Professional		$629.23	$818.00	$1,267.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.50 / $2,459.73 / $16,327.36	Facility		$185.50	$2,459.73	$16,327.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $163.98 / $2,554.34 / $4,507.64	Professional		$163.98	$2,554.34	$4,507.64
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 $466.11 / $722.26 / $1,047.99	Professional		$466.11	$722.26	$1,047.99