Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,549.93 / $11,748.98	Facility		$2,454.71	$9,549.93	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $97.72	Professional		$36.31	$46.77	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $616.60	Professional		$54.95	$69.18	$616.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $316.23 / $41,686.94	Facility		$21.38	$316.23	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $354.81 / $630.96	Professional		$28.18	$354.81	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,019.95	Facility		$457.09	$954.99	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $22.91	Professional		$10.47	$13.80	$22.91