Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.20 / $8,956.00 / $11,627.00	Facility		$393.20	$8,956.00	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.72 / $393.20 / $464.11	Professional		$271.72	$393.20	$464.11
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 $389.58 / $5,843.69 / $12,052.61	Facility		$389.58	$5,843.69	$12,052.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.28 / $6,574.14 / $11,601.44	Professional		$438.28	$6,574.14	$11,601.44
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 $358.90 / $512.15 / $856.10	Professional		$358.90	$512.15	$856.10