Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $66.95 / $103.99	Professional		$56.91	$66.95	$103.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $666.83 / $41,999.58	Facility		$46.10	$666.83	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $592.00 / $1,037.30	Professional		$46.10	$592.00	$1,037.30
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 $49.08 / $62.63 / $114.64	Professional		$49.08	$62.63	$114.64