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 $91.41 / $1,267.04 / $41,999.58	Facility		$91.41	$1,267.04	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $1,173.75 / $2,056.64	Professional		$91.41	$1,173.75	$2,056.64
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 $63.53 / $76.23 / $132.53	Professional		$63.53	$76.23	$132.53