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 / $1,009.51	Professional		$534.85	$629.24	$1,009.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.20 / $3,214.83 / $47,249.53	Facility		$222.20	$3,214.83	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.63 / $3,309.39 / $4,964.09	Professional		$220.63	$3,309.39	$4,964.09
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 $105.05 / $158.76 / $216.69	Professional		$105.05	$158.76	$216.69