Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.00 / $3,698.00 / $11,581.00	Facility		$1,409.00	$3,698.00	$11,581.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.03 / $136.74 / $2,464.00	Professional		$131.03	$136.74	$2,464.00
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 $74.45 / $96.66 / $158.32	Professional		$74.45	$96.66	$158.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.08 / $2,031.84 / $4,482.00	Facility		$146.08	$2,031.84	$4,482.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.81 / $2,285.82 / $4,033.80	Professional		$129.81	$2,285.82	$4,033.80
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 Facility Modifier Low / Median / High Price $444.00 / $965.00 / $2,833.00	Facility		$444.00	$965.00	$2,833.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $165.42 / $291.66	Professional		$122.08	$165.42	$291.66