Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,129.02 / $3,118.72 / $5,489.41	Facility		$2,129.02	$3,118.72	$5,489.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.82 / $1,265.90 / $4,235.02	Professional		$1,150.82	$1,265.90	$4,235.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.73 / $2,238.83 / $4,388.10	Professional		$307.73	$2,238.83	$4,388.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.74 / $6,911.02 / $13,212.23	Facility		$460.74	$6,911.02	$13,212.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.33 / $7,774.89 / $13,720.40	Professional		$518.33	$7,774.89	$13,720.40
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 Professional Modifier Low / Median / High Price $160.41 / $215.64 / $600.00	Professional		$160.41	$215.64	$600.00