Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.97 / $6,398.56 / $6,398.56	Facility		$114.97	$6,398.56	$6,398.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.97 / $223.64 / $223.64	Professional		$114.97	$223.64	$223.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.57 / $307.73 / $555.39	Professional		$261.57	$307.73	$555.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $613.09 / $8,867.87 / $47,249.53	Facility		$613.09	$8,867.87	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $613.09 / $7,872.71 / $13,794.48	Professional		$613.09	$7,872.71	$13,794.48
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 Professional Modifier Low / Median / High Price $155.26 / $203.44 / $300.45	Professional		$155.26	$203.44	$300.45