Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.63 / $9,496.00 / $11,627.00	Facility		$243.63	$9,496.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.87 / $243.63 / $248.78	Professional		$241.87	$243.63	$248.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $3,528.00 / $14,996.00	Facility		$1,760.00	$3,528.00	$14,996.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $185.80 / $323.27	Professional		$149.00	$185.80	$323.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.94 / $3,916.84 / $7,975.47	Facility		$259.94	$3,916.84	$7,975.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $4,067.49 / $7,177.92	Professional		$271.17	$4,067.49	$7,177.92
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 $1,480.00 / $3,086.00 / $6,111.00	Facility		$1,480.00	$3,086.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.19 / $334.26 / $559.13	Professional		$245.19	$334.26	$559.13