Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.01 / $198.84 / $284.89	Professional		$169.01	$198.84	$284.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.05 / $3,198.11 / $47,249.53	Facility		$221.05	$3,198.11	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.48 / $3,277.85 / $4,938.26	Professional		$219.48	$3,277.85	$4,938.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.91 / $182.91 / $182.91	Professional		$182.91	$182.91	$182.91
United Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $194.24 / $194.24	Facility		$194.24	$194.24	$194.24
United Facility/Professional Professional Modifier Low / Median / High Price $148.24 / $211.50 / $247.46	Professional		$148.24	$211.50	$247.46