Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.04 / $422.35 / $8,229.00	Facility		$231.04	$422.35	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.04 / $412.56 / $459.94	Professional		$231.04	$412.56	$459.94
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 $558.46 / $8,079.82 / $47,249.53	Facility		$558.46	$8,079.82	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $554.50 / $7,120.35 / $12,476.21	Professional		$554.50	$7,120.35	$12,476.21
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 $420.21 / $623.69 / $918.69	Professional		$420.21	$623.69	$918.69