Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.33 / $8,956.00 / $11,627.00	Facility		$268.33	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.98 / $273.11 / $564.04	Professional		$260.98	$273.11	$564.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,698.00 / $8,125.00 / $60,294.00	Facility		$2,698.00	$8,125.00	$60,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $140.46 / $205.85	Professional		$102.92	$140.46	$205.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $265.86 / $3,987.95 / $8,796.95	Facility		$265.86	$3,987.95	$8,796.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $299.10 / $4,486.43 / $7,917.24	Professional		$299.10	$4,486.43	$7,917.24
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 $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.98 / $597.59 / $1,040.38	Professional		$390.98	$597.59	$1,040.38