Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,623.41 / $10,964.78	Facility		$851.14	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $10,964.78	Professional		$8,511.38	$8,511.38	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,760.83 / $19,054.61	Facility		$6,165.95	$6,760.83	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,380.38	Professional		$1,258.93	$1,258.93	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $56,234.13 / $83,176.38	Facility		$12,302.69	$56,234.13	$83,176.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74,131.02 / $74,131.02 / $104,712.85	Professional		$74,131.02	$74,131.02	$104,712.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52