Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.00 / $1,927.00 / $3,943.00	Facility		$937.00	$1,927.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $81.19 / $137.51	Professional		$63.02	$81.19	$137.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $561.39 / $11,374.89	Facility		$37.43	$561.39	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $582.99 / $1,028.81	Professional		$38.86	$582.99	$1,028.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $60.00	Professional		$35.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $67.48 / $118.32	Professional		$44.93	$67.48	$118.32