Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,670.00 / $6,746.00 / $30,285.00	Facility		$2,670.00	$6,746.00	$30,285.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.06 / $1,235.45 / $1,896.58	Professional		$946.06	$1,235.45	$1,896.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $10,135.12 / $24,813.14	Facility		$891.00	$10,135.12	$24,813.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $816.75 / $52,499.48 / $74,999.25	Professional		$816.75	$52,499.48	$74,999.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $605.00 / $907.50 / $1,200.98	Professional		$605.00	$907.50	$1,200.98
United Facility/Professional Professional Modifier Low / Median / High Price $785.17 / $1,229.79 / $1,891.98	Professional		$785.17	$1,229.79	$1,891.98