Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.00 / $6,125.00 / $10,647.00	Facility		$787.00	$6,125.00	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,843.00 / $8,229.00 / $10,647.00	Professional		$2,843.00	$8,229.00	$10,647.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $8,771.37 / $24,626.72	Facility		$6,153.00	$8,771.37	$24,626.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.01 / $1,265.53 / $1,410.04	Professional		$1,226.01	$1,265.53	$1,410.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,249.87 / $55,999.44 / $83,999.17	Facility		$12,249.87	$55,999.44	$83,999.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73,499.27 / $104,998.95 / $104,998.95	Professional		$73,499.27	$104,998.95	$104,998.95
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00