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 / $816.75 / $1,267.43	Professional		$629.23	$816.75	$1,267.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.68 / $2,687.48 / $16,327.36	Facility		$202.68	$2,687.48	$16,327.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $2,790.83 / $4,925.01	Professional		$179.16	$2,790.83	$4,925.01
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 $107.31 / $145.33 / $263.69	Professional		$107.31	$145.33	$263.69