Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.43 / $161.43 / $161.43	Facility		$161.43	$161.43	$161.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.43 / $161.43 / $193.41	Professional		$161.43	$161.43	$193.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.91 / $159.55 / $261.33	Professional		$116.91	$159.55	$261.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.91 / $2,593.64 / $11,374.89	Facility		$172.91	$2,593.64	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $2,705.63 / $4,774.64	Professional		$153.65	$2,705.63	$4,774.64
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 $153.36 / $219.42 / $416.90	Professional		$153.36	$219.42	$416.90