Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $69.69 / $128.00	Facility		$69.69	$69.69	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.43 / $69.69 / $69.69	Professional		$46.43	$69.69	$69.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $68.26 / $102.12	Professional		$52.51	$68.26	$102.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.49 / $795.41 / $1,980.81	Facility		$85.49	$795.41	$1,980.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $826.00 / $1,748.45	Professional		$77.70	$826.00	$1,748.45
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 $49.58 / $67.77 / $101.68	Professional		$49.58	$67.77	$101.68