Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $69.39 / $331.00	Facility		$69.39	$69.39	$331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $69.39 / $233.84	Professional		$54.03	$69.39	$233.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $69.94 / $104.80	Professional		$53.89	$69.94	$104.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $1,254.89 / $11,374.89	Facility		$83.66	$1,254.89	$11,374.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $1,303.16 / $2,299.69	Professional		$83.66	$1,303.16	$2,299.69
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 / $6,792.00	Facility		$1,480.00	$3,086.00	$6,792.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $74.58 / $111.13	Professional		$54.80	$74.58	$111.13