Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $482.11 / $8,229.00	Facility		$147.94	$482.11	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $268.33 / $494.71	Professional		$147.94	$268.33	$494.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,496.00 / $10,683.00 / $11,870.00	Facility		$9,496.00	$10,683.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $132.19 / $152.51	Professional		$112.37	$132.19	$152.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.24 / $5,168.54 / $45,499.55	Facility		$357.24	$5,168.54	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $354.70 / $4,554.78 / $7,980.84	Professional		$354.70	$4,554.78	$7,980.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.63 / $688.96 / $996.64	Professional		$474.63	$688.96	$996.64